Presentation
Anteroseptal myocardial infarction 2 years ago with stenting. Suspected embolic stroke. Search for embolism source.
Patient Data
Age: 70 years
Gender: Male
From the case:
Anteroseptal hypokinesia after myocardial infarction
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Late enhancing transmural left myocardial scar in the anterior wall, the septum and the apex. Local hypokinesia in this region on the cine images (2D FIESTA). Global left ventricular function was normal (EF= 66%). A thrombus could not be found.
Case Discussion
Recent advances in MRI have made it possible to assess myocardial infarction in patients. Local hypokinesia can be identified with cine images while scar tissues can be identified using late gadolinium enhancement (LGE) images which are obtained 10 minutes after gadolinium injection.
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