Acute heart failure (CT)
Patient came with history of road traffic accident. Pan CT was performed to evaluate injuries.
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Imaging of the abdomen and pelvis was performed after contrast bolus injection. This revealed absence of contrast opacification of left heart and aorta. Retrograde opacification, layering, and pooling of contrast was noted within the dependent aspects of the inferior vena cava, hepatic veins, and right renal vein. Contrast opacified the dependent aspect of the right hepatic lobe parenchyma.
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Contrast was administered via right median cubital vein in this patient and images were acquired at 60 seconds (porto-venous phase), according to departmental PAN-CT trauma protocol.
This patient collapsed following CT and immediately underwent cardiopulmonary resuscitation by ER physician. He revived for a while but unfortunately he didn't survived long and expired an hour later.
- Clark TJ, Suby-Long T. Computed tomography of acute heart failure: A novel case and literature review. Radiology case reports. 2015 Jan 1;10(1):1065.