Evidence map›Paper›PMID 42240262›Full record

ArticleJACC. Case reports2026

Traumatic Coronary Artery Dissection After a Fall From a Roof.

Isabella Froeschl, Quinton Barry, Keiler Totz, Richard G Jung, Shaun Hancyz, Ramtin Hakimjavadi, Charles Ghanem, Nikola Kolobaric, Zeeshan Ahmed, Pietro Di Santo

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Isabella FroeschlDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Quinton BarryDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Keiler TotzDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Richard G JungDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Shaun HancyzDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Ramtin HakimjavadiDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Charles GhanemDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Nikola KolobaricDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Zeeshan AhmedDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Pietro Di SantoDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: DiSanto.Pietro@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic coronary artery dissection (TCAD) can result from thoracic trauma. CASE SUMMARY: A 37-year-old man fell off a roof. An electrocardiogram documented a lateral ST-segment elevation myocardial infarction. Invasive coronary angiography revealed a culprit proximal left anterior descending artery occlusion secondary to TCAD, confirmed by intravascular ultrasound. The dissection was treated with percutaneous coronary intervention (PCI), including cutting balloon evacuation of intramural hematoma. Retrospective review of the trauma-code computed tomography (CT) scans documented an occluded left anterior descending artery. DISCUSSION: TCAD is usually confirmed by invasive coronary angiography, but CT could play a useful diagnostic role. PCI is a viable option for the treatment of TCAD, including use of a cutting balloon to evacuate intramural hematoma. TAKE-HOME MESSAGES: The diagnosis of TCAD relies on a high index of suspicion and typical electrocardiographic findings; CT can be used to confirm the diagnosis. PCI with a cutting balloon and stent is an effective treatment option.

Indexed as

coronary artery diseasepercutaneous coronary interventionST-elevation myocardial infarctiontraumatic coronary artery dissection

Identifiers

PMID42240262
PMCPMC13244017

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.