Published in:
01-08-2020 | Computed Tomography | Images in CV Applications
Quantitative thrombus age assessment by T1 mapping in acute thromboembolic myocardial infarction
Authors:
Philip Haaf, Jens Bremerich, Konrad Appelt, Frank-Peter Stephan, Michael J. Zellweger
Published in:
The International Journal of Cardiovascular Imaging
|
Issue 8/2020
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Excerpt
A 54-year old male patient without known coronary artery disease presented with acute chest pain radiating in both arms. Elevated D-dimers and high-sensitivity cardiac troponin T prompted emergency physicians to perform a triple-rule-out computed tomography (CT): Pulmonary embolism and aortic dissection could be excluded. CT coronary angiography showed a proximally thrombotically occluded left anterior descending artery (LAD) and first diagonal branch (panel a) and two thrombi in the left ventricle with dystrophic myocardial calcifications (panels b, c). Invasive coronary angiography confirmed proximal LAD occlusion with retrograde perfusion of the distal LAD; urgent interventional revascularization was not feasible. …
