EURORAD ESR

Case 15077

Unstable angina during myocardial perfusion scintigraphy

Author(s)
Ruta Kliokyte, MD, Augustinas Bielinis, MD, Donatas Vajauskas, PhD, Egle Sadauskiene, PhD

Vilnius University Hospital Santaros Klinikos, Radiology and Nuclear Medicine Department, Santariskiu g. 2, 08661 Vilnius, Lithuania
 
Patient
male, 80 year(s)
 
 
  • Figure 1
    Stress and rest myocardial perfusion imaging

    The stress and rest imaging demonstrates perfusion defects which were large of severe intensity in anterior and inferior walls. In rest images perfusion was moderately worse in the anterior wall of the LV.

     
    Area of Interest: Cardiovascular system; Nuclear medicine; Imaging Technique: SPECT; Procedure: Diagnostic procedure; Special Focus: Acute; Ischaemia / Infarction;
     
     
  • Figure 2
    Coronary angiography image

    Coronary angiography image shows critical stenosis in LAD‘s 8 segment and RCX‘s 12 segment (arrows).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    Coronary angiography image

    Coronary angiography image shows diffuse subocclusive stenoses in RCA (arrows).

     
    Area of Interest: Cardiovascular system; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Acute; Ischaemia / Infarction;
     
     
The stress and rest imaging demonstrates perfusion defects which were large of severe intensity in anterior and inferior walls. In rest images perfusion was moderately worse in the anterior wall of the LV.
 
Coronary angiography image shows critical stenosis in LAD‘s 8 segment and RCX‘s 12 segment (arrows).
 
Coronary angiography image shows diffuse subocclusive stenoses in RCA (arrows).
 
 
 
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