Acute myocardial infarction with myocardial perfusion defect detected by contrast-enhanced computed tomography.
The first case was a 68-year-old woman who had acute migratory pain from back to anterior chest and the second case was 66-year-old man with a cardiac tamponade. Two cases were demonstrated with a low density area of the left ventricular postero-lateral wall with conventional contrast-enhanced computed tomography (CE-CT) performed to differentiate the diagnosis of acute coronary syndrome and acute aortic dissection. Subsequent coronary angiograms showed the lesions of left circumflex. These cases of early contrast-defect corresponded to a decreased myocardial blood flow with AMI. CE-CT image facilitated the diagnosis of AMI preceding CAG examination.
Ichinose
Tetsuo
T
Department of Cardiology, Juntendo University Urayasu Hospital, Urayasu. tichinose@juntendo-urayasu.jp
Yamase
Miki
M
Yokomatsu
Yuki
Y
Kawano
Yasunobu
Y
Konishi
Hakuoh
H
Tanimoto
Kosei
K
Oigawa
Tetsuya
T
Katoh
Youichi
Y
Nakazato
Yuji
Y
Suwa
Satoru
S
Sakurai
Hidehiko
H
Sumiyoshi
Masataka
M
D000368:Aged; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed