{
  "abstract": "A well mid-30s man suffered a ventricular fibrillation arrest following blunt chest trauma while playing football. Development of anterior Q waves on ECG, troponin elevation >50 000 ng/L, recurrent non-sustained ventricular arrhythmias and transthoracic echocardiogram showing regional wall motion abnormality prompted diagnostic angiography. Intravascular ultrasound identified a proximally occluded LAD and dissection flap with associated haematoma, suggestive of traumatic dissection. Management included a drug-eluting stent, dual antiplatelet therapy and guideline-directed heart failure therapy. Recognition of traumatic coronary artery dissection as a differential in patients experiencing chest trauma is important to prevent diagnostic delay, which may result in poor and potentially fatal outcomes.",
  "authors": [
    {
      "affiliations": [
        "Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"
      ],
      "name": "Tess Aitken"
    },
    {
      "affiliations": [
        "Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia",
        "University of Melbourne, Melbourne, Victoria, Australia"
      ],
      "name": "Danlu Liang"
    },
    {
      "affiliations": [
        "Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"
      ],
      "name": "Harsh V Thakkar"
    },
    {
      "affiliations": [
        "Cardiology, The Royal Melbourne Hospital, Parkville, Victoria, Australia"
      ],
      "name": "Ravindran Iyer"
    }
  ],
  "title": "Traumatic coronary artery dissection: an unusual cause of cardiac arrest",
  "uid": "1e0a175f-1f0f-56c6-b5d4-f6960bb2707e"
}