Evidence map›Paper›PMID 42460931›Full record

ArticleJACC. Case reports2026

Coronary Intramural Hematoma in a Young Athlete After Direct Ball Impact to the Chest.

Hichem Sakhi, Laurette Kalifa, Sahbi Fradi, Vincenzo Palermo, Haifa Remili, Salma Chaher, Virgile Chevance, Iyad Mallak, Said Ghostine, Arshid Azarine

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.

Hichem SakhiMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France. Electronic address: hichem.sakhi@gmail.com.
Laurette KalifaMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Sahbi FradiCardiology Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Vincenzo PalermoCardiology Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Haifa RemiliMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Salma ChaherMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Virgile ChevanceMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Iyad MallakMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Said GhostineCardiology Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.
Arshid AzarineMedical Imaging Department, Hôpital Marie Lannelongue, Le Plessis-Robinson, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary intramural hematoma (IMH) is a rare cause of acute coronary syndrome that may occur after blunt chest impact. CASE SUMMARY: A 19-year-old competitive athlete presented with sudden retrosternal chest pain after intense exertion and direct ball-related impact to the chest during a football match. Troponin peaked at 20,400 ng/L. Coronary angiography showed a nonobstructive ostial left anterior descending artery (LAD) lesion. Cardiac magnetic resonance demonstrated near-transmural ischemic injury with microvascular obstruction in the basal-mid septum. Coronary computed tomography (CT) angiography revealed hyperdense mural thickening and positive remodeling of the proximal LAD, suggestive of IMH. Optical coherence tomography confirmed a focal subadventitial IMH in the proximal LAD, near the ostium of the first septal branch. DISCUSSION: This case illustrates traumatic IMH as a potential cause of myocardial infarction with nonobstructive coronary arteries in a young athlete and underscores the value of cardiac CT. TAKE-HOME MESSAGES: Coronary IMH should be considered after blunt chest trauma. Noncontrast CT aids IMH diagnosis.

Indexed as

acute coronary syndromecardiac magnetic resonancecomputed tomographyintravascular ultrasound

Identifiers

PMID42460931
PMCPMC13379917

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Registered trials

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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.