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Correspondence
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Volume 343:742-743 September 7, 2000 Number 10
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Coronary Arterial Laceration after Blunt Chest Trauma

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To the Editor: There are few reports describing nonpenetrating cardiac injuries other than those caused by automobile and motorcycle accidents.1 We describe a patient who had an isolated coronary arterial laceration as the result of a fall.

A 59-year-old man who was receiving warfarin because of previous aortic- and mitral-valve replacements sustained blunt chest trauma by falling 50 cm onto a metal wheelbarrow. Two hours later, he came to our hospital. On examination, the findings were identical to those at his last outpatient visit, except for fractures of the anterolateral left seventh and eighth ribs. Fourteen hours after the accident, . . . [Full Text of this Article]

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