EURORAD ESR

Case 15382

Ruptured myocardial infarction

Author(s)
Dr. Juan Lloret del Hoyo, Dr. María Ángeles Rojas Soldado, Dr. Paula Hernández Mateo

Hospital Clínico Universitario San Carlos de Madrid
Email:jllorethoyo@gmail.com
 
Patient
male, 78 year(s)
 
 
  • Figure 1
    STEMI

    EKG showing ST elevation in II, III, aVF, V5 and V6 derivations, consistent with STEMI.

     
    Area of Interest: Cardiac; Imaging Technique: Echocardiography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Pericardial high attenuation effusion

    Axial CT Chest angiography in portal venous phase. Pericardial high attenuation effusion is demonstrated.

     
    Area of Interest: Cardiac; Imaging Technique: CT; CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    Myocardial ischaemia

    Axial CT Chest Angiography in portal venous phase. Hypoenhancing area on the posterolateral wall of the LV suggesting myocardial ischaemia (orange arrow).

     
    Area of Interest: Cardiac; Imaging Technique: CT; CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    Small area of pooling within the hypoenhancing area
     

    Axial CT angiography in portal venous phase. Small area of contrast pooling (red star) within the hypoperfused area (yellow arrow).

     
    Area of Interest: Cardiac; Imaging Technique: CT; CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;

    Coronal image of CT angiography in portal venous phase. Small area of contrast pooling within the hypoperfused area (yellow arrow).

     
    Area of Interest: Cardiac; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 5
    Cardiac diagnostic catheterisation
     

    Coronary atherosclerosis, distal anterior descending artery significant stenosis (70%) and total marginal obtuse coronary artery occlusion.

     
    Area of Interest: Cardiac; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriosclerosis; Ischaemia / Infarction;

    Coronary atherosclerosis, distal anterior descending artery significant stenosis (70%) and total marginal obtuse coronary artery occlusion.

     
    Area of Interest: Cardiac; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Arteriosclerosis; Ischaemia / Infarction;
     
     
EKG showing ST elevation in II, III, aVF, V5 and V6 derivations, consistent with STEMI.
 
Axial CT Chest angiography in portal venous phase. Pericardial high attenuation effusion is demonstrated.
 
Axial CT Chest Angiography in portal venous phase. Hypoenhancing area on the posterolateral wall of the LV suggesting myocardial ischaemia (orange arrow).
 
Axial CT angiography in portal venous phase. Small area of contrast pooling (red star) within the hypoperfused area (yellow arrow).
 
Coronal image of CT angiography in portal venous phase. Small area of contrast pooling within the hypoperfused area (yellow arrow).
 
Coronary atherosclerosis, distal anterior descending artery significant stenosis (70%) and total marginal obtuse coronary artery occlusion.
 
Coronary atherosclerosis, distal anterior descending artery significant stenosis (70%) and total marginal obtuse coronary artery occlusion.
 
 
 
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