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{
    "pk": 1410,
    "title": "Tension Pneumomediastinum and Coronary Artery Thrombosis Following a Motorcycle Accident: A Case Report",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Tension pneumomediastinum and coronary artery thrombosis (CAT) secondary to blunt polytrauma are, rare yet have the potential for serious complication.&nbsp;</p><p><b>Case Report:</b> A 40-year-old man presented to the emergency department following a motorcycle accident. He was found to have multiple orthopedic injuries, pneumothorax, and pneumomediastinum. An electrocardiogram showed myocardial infarction. He developed obstructive shock physiology that resolved with mediastinal percutaneous needle drainage. Subsequent coronary angiography revealed acute thrombosis of the left circumflex artery.</p><p><b>Conclusion:</b> This is a rare case of traumatic tension pneumomediastinum associated with coronary artery thrombosis requiring coronary stenting. Emergency physicians should be mindful of CAT in the setting of blunt chest injury.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "blunt trauma; coronary artery thrombosis; pneumomediastinum; motorcycle accident; case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5v49n2sk",
    "frozenauthors": [
        {
            "first_name": "Samuel",
            "middle_name": "G.",
            "last_name": "Rouleau",
            "name_suffix": "",
            "institution": "University of California Davis Health, Department of Emergency Medicine, Sacramento, California",
            "department": ""
        },
        {
            "first_name": "Martin",
            "middle_name": "A.C.",
            "last_name": "Manoukian",
            "name_suffix": "",
            "institution": "University of California Davis Health, Department of Emergency Medicine, Sacramento, California",
            "department": ""
        },
        {
            "first_name": "Gordon",
            "middle_name": "X.",
            "last_name": "Wong",
            "name_suffix": "",
            "institution": "",
            "department": "University of California Davis Health, Division of Cardiovascular Medicine, Department of Internal Medicine, Sacramento, California"
        },
        {
            "first_name": "David",
            "middle_name": "K.",
            "last_name": "Barnes",
            "name_suffix": "",
            "institution": "University of California Davis Health, Department of Emergency Medicine, Sacramento, California",
            "department": ""
        }
    ],
    "date_submitted": "2023-05-27T22:47:28.427000Z",
    "date_accepted": "2023-05-27T22:50:43.749000Z",
    "date_published": "2023-05-31T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1410/galley/1027/download/"
        }
    ]
}