title: [Cardiac rupture caused by myocardial infarction in the diagonal branch area: evaluation by cardiac multislice computed tomography: a case report].
abstract: A 75-year-old woman was admitted to the emergency room because of hypotension and loss of consciousness induced by cardiac tamponade. Electrocardiography revealed ST elevation and laboratory data showed elevation of serum creatine kinase and troponin I. The patient was referred to the cardiology department 5 days later. Cardiac catheterization revealed ventricular aneurysm in the anterior wall, significant stenosis (75%) in the left anterior descending coronary artery and subtotal stenosis (99%) in the diagonal branch. Cardiac multislice computed tomography suggested that the ventricular pseudoaneurysm was probably due to cardiac rupture caused by myocardial infarction in the diagonal area. Subsequently, aneurysmectomy and coronary artery bypass graft surgery were performed. Cardiac multislice computed tomography is useful for evaluating coronary artery and cardiac rupture.
authors.affiliation: Department of Internal Medicine, Teikyo University, School of Medicine, Tokyo, Japan.
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Suzuki
authors.forename: Kentaro
authors.initials: K
authors.lastname: Motoyoshi
authors.forename: Ken
authors.initials: K
authors.lastname: Kozuma
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Suzuki
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Yokoyama
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Shigeru
authors.initials: S
authors.lastname: Suzuki
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Kaminaga
authors.forename: Susumu
authors.initials: S
authors.lastname: Ishikawa
authors.forename: Keisuke
authors.initials: K
authors.lastname: Ueda
authors.forename: Takaaki
authors.initials: T
authors.lastname: Isshiki
mesh_terms: D000368:Aged; D005260:Female; D006342:Heart Rupture, Post-Infarction / Q000000981:diagnostic imaging*; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000379:methods*