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Updated: Sep 28, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

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Transmural ischemia visualized using routine Chest CTA

F Y van Driest1, O Hertgers2, A J H A Scholte1

  • 1Department of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands.

Radiology Case Reports
|April 1, 2022
PubMed

Insights

Routine chest CT angiography can reveal myocardial infarction (MI) by showing hypoperfusion areas. This case highlights its potential for diagnosing acute MI during evaluations for other conditions.

Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Chest computed tomography (CT) is not standard for diagnosing myocardial infarction (MI).
  • Previous reports suggest MI diagnosis during chest CT for other reasons, identified via myocardial hypoperfusion.
  • Acute chest pain is a common symptom requiring urgent diagnostic evaluation.

Observation:

  • A 60-year-old male presented with acute chest pain radiating between the scapulae.
  • Thoracic computed tomography angiography was performed to exclude aortic dissection.
  • The CT angiography incidentally revealed left anterior descending coronary artery occlusion with relative myocardial hypoperfusion.

Findings:

  • The case demonstrates the visualization of transmural ischemia in acute myocardial infarction using routine thoracic CT angiography.
  • Myocardial hypoperfusion was evident on CT angiography in the affected region.
  • Coronary artery occlusion was identified as the cause of ischemia.

Implications:

  • Clinicians should consider evaluating for myocardial perfusion abnormalities during chest CT assessments.
  • Thoracic CT angiography may serve as a valuable tool for diagnosing acute myocardial infarction in specific clinical scenarios.
  • Increased awareness can lead to earlier MI detection and intervention.

Keywords:
CT perfusionCardiologyChest computed tomographyComputed tomography angiographyMyocardial infarction

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