Presentation
Chest pain and shortness of breath.
Patient Data
Age: 50 years
Gender: Male
From the case:
LAD occlusion and cardiac apex infarction
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No pulmonary embolism, aorta normal in course and caliber. Hypoperfusion cardiac apex with small apical thrombus suggests ischemia in the distribution of the left anterior descending coronary artery. Small pericardial effusion, mildly enhancing pericardium, small left pleural effusion. Mild perihilar edema.
From the case:
LAD occlusion and cardiac apex infarction
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Complete occlusion left anterior descending coronary artery just distal to its origin.
From the case:
LAD occlusion and cardiac apex infarction
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Support apparatus appropriately positioned, bilateral perihilar edema.
Case Discussion
Good illustration of the necessity of evaluating the myocardium in patients who are referred for CTPA to rule out pulmonary embolism.
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