Transmural ischemia visualized using routine Chest CTA
Chest computed tomography (CT) is not routinely used for the diagnosis of myocardial infarction. However, there have been some reports of patients undergoing chest CT for other indications in which ultimately MI was diagnosed due to the presence of areas of myocardial hypoperfusion. The authors pres...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332200190X |
| _version_ | 1819047414103801856 |
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| author | F.Y. van Driest, MD O Hertgers, MD A.J.H.A. Scholte, MD PhD J.W. Jukema, MD PhD M.A. de Graaf, MD PhD |
| author_facet | F.Y. van Driest, MD O Hertgers, MD A.J.H.A. Scholte, MD PhD J.W. Jukema, MD PhD M.A. de Graaf, MD PhD |
| author_sort | F.Y. van Driest, MD |
| collection | DOAJ |
| description | Chest computed tomography (CT) is not routinely used for the diagnosis of myocardial infarction. However, there have been some reports of patients undergoing chest CT for other indications in which ultimately MI was diagnosed due to the presence of areas of myocardial hypoperfusion. The authors present the case of a 60-years old male who is referred due to acute chest pain radiating between the scapulae. Thoracic computed tomography angiography to rule out an aortic dissection revealed an occlusion of the left anterior descending coronary artery with an area of relative hypoperfusion. Hence, the present case demonstrates how using routine thoracic computed tomography angiography, transmural ischemia can be visualized in the setting of an acute myocardial infarction. It should make clinicians aware of the fact it may be beneficial to look for myocardial perfusion abnormalities when assessing chest CT's. |
| first_indexed | 2024-12-21T10:59:59Z |
| format | Article |
| id | doaj.art-47f37d6cb59a4faaa4e3550cfb8dbbb1 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-21T10:59:59Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-47f37d6cb59a4faaa4e3550cfb8dbbb12022-12-21T19:06:23ZengElsevierRadiology Case Reports1930-04332022-05-0117517341736Transmural ischemia visualized using routine Chest CTAF.Y. van Driest, MD0O Hertgers, MD1A.J.H.A. Scholte, MD PhD2J.W. Jukema, MD PhD3M.A. de Graaf, MD PhD4Department of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The NetherlandsDepartment of Radiology, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The NetherlandsDepartment of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The NetherlandsDepartment of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands; Corresponding author.Chest computed tomography (CT) is not routinely used for the diagnosis of myocardial infarction. However, there have been some reports of patients undergoing chest CT for other indications in which ultimately MI was diagnosed due to the presence of areas of myocardial hypoperfusion. The authors present the case of a 60-years old male who is referred due to acute chest pain radiating between the scapulae. Thoracic computed tomography angiography to rule out an aortic dissection revealed an occlusion of the left anterior descending coronary artery with an area of relative hypoperfusion. Hence, the present case demonstrates how using routine thoracic computed tomography angiography, transmural ischemia can be visualized in the setting of an acute myocardial infarction. It should make clinicians aware of the fact it may be beneficial to look for myocardial perfusion abnormalities when assessing chest CT's.http://www.sciencedirect.com/science/article/pii/S193004332200190XComputed tomography angiographyCT perfusionCardiologyMyocardial infarctionChest computed tomography |
| spellingShingle | F.Y. van Driest, MD O Hertgers, MD A.J.H.A. Scholte, MD PhD J.W. Jukema, MD PhD M.A. de Graaf, MD PhD Transmural ischemia visualized using routine Chest CTA Radiology Case Reports Computed tomography angiography CT perfusion Cardiology Myocardial infarction Chest computed tomography |
| title | Transmural ischemia visualized using routine Chest CTA |
| title_full | Transmural ischemia visualized using routine Chest CTA |
| title_fullStr | Transmural ischemia visualized using routine Chest CTA |
| title_full_unstemmed | Transmural ischemia visualized using routine Chest CTA |
| title_short | Transmural ischemia visualized using routine Chest CTA |
| title_sort | transmural ischemia visualized using routine chest cta |
| topic | Computed tomography angiography CT perfusion Cardiology Myocardial infarction Chest computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S193004332200190X |
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