Myocardial infarct (anterior)

Case contributed by Dr Yi-Jin Kuok

Presentation

Drunk patient presenzed with chest pain. Aortic dissection was suspected by the clinician.

Patient Data

Age: 25 years
Gender: Male
CT

Lung windows demonstrate ground glass infiltrate with smooth interlobular septal thickening and peribronchial cuffing consistent with early heart failure.

Soft tissue windows demonstrate reduced first pass of contrast into the anterior left ventricular wall correlating to the territory of the left anterior descending artery.

Incidental fatty thymus, common finding in young adults

Incidental azygous fissure

Photo

Coronary angiogram report

Subsequent coronary angiogram showed the proximal left anterior descending artery to be completely occluded.

Case Discussion

Although CT of the chest is not a routine modality for the diagnosis of myocardial infarction, it should be noted that with modern scanners it is possible to see infarcted myocardium. In patients with unusual / atypical presentations, an AMI may not be suspected clinically. 

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Case information

rID: 14269
Published: 11th Jul 2011
Last edited: 13th Aug 2019
System: Cardiac, Chest
Inclusion in quiz mode: Excluded