Document Detail


Coronary thrombus detected by cardiac CT angiography before cardiac catheterization.
MedLine Citation:
PMID:  20463613     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A patient presented with a complaint of pleuritic chest discomfort with elevated cardiac biomarkers. After a cardiac magnetic resonance imaging scan for the suspicion of myopericarditis showed a potential myocardial infarct, a coronary CT scan was performed. This revealed a thrombus of the left anterior descending artery. Cardiac catheterization confirmed the findings, and a small clot was removed. To our knowledge, this is the first reported case of coronary thrombus being detected by CT angiography with cardiac catheterization correlation. Coronary CT angiography has been increasingly used to evaluate acute chest pain with a negative predictive value close to 100%. In a young patient with suspicion of myopericarditis, CT angiography proved to be useful in diagnosing thrombus in the coronary tree.
Authors:
Ahmad M Slim; Jennifer N Slim; Brian R Haney; Eric A Shry
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of thoracic imaging     Volume:  25     ISSN:  1536-0237     ISO Abbreviation:  J Thorac Imaging     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606160     Medline TA:  J Thorac Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  W118-20     Citation Subset:  IM    
Affiliation:
Cardiology Service, Brooke Army Medical Center, Fort Sam Houston, TX, USA. Ahmad.slim@us.army.mil
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