Abstract
<jats:p>Background. Acute myocardial infarction (AMI) caused by a penetrating chest wound, is an extremely rare and dangerous condition. Purpose. To demonstrate the possibility of using high-tech medical care in acute myocardial infarction resulting from a penetrating chest injury. Materials and methods. Based on the presented clinical case of a 42-year-old patient with a mine-explosive chest wound, a step-by-step examination (laboratory tests, ECG, EchoCG, CT angiography, coronary angiography, myocardial scintigraphy) and comprehensive treatment are described in detail. The tactics included emergency percutaneous coronary intervention with stenting of the damaged artery with drug- coated stents and subsequent implantation of a cardioverter defibrillator to relieve severe rhythm disturbances. Results. The use of a multidisciplinary approach and modern endovascular technologies has made it possible to restore the patency of the coronary artery, eliminate the threat of the pseudoaneurysm rupture, stop conduction disturbances and prevent fatal complications. Conclusion. This clinical case confirms that timely diagnosis (including mandatory troponin and ECG testing) and comprehensive treatment using high-tech interventions are key to successful treatment of traumatic AMI. This experience motivates the need for further development of standardized clinical algorithms for managing such patients and poses new challenges for assessing long-term outcomes and improving diagnostic and treatment methods.</jats:p>