Diagnosis of coronary artery dissection following blunt chest trauma by transesophageal echocardiography.

How to differentiate relevant from trivial cardiac injury in blunt chest trauma has been an ongoing debate. In a 32-year-old victim of a motorcycle crash, the electrocardiographic pattern of an acute anterior wall myocardial infarction was identified as being due to a dissection, after an intimal flap in the proximal left anterior descending artery was noted on transesophageal echocardiography.