Abstract
Background A 55 year old patient presented late to the emergency department following an ST elevation myocardial infarction (STEMI). Coronary angiogram demonstrated occluded left anterior descending artery with backfilling from collaterals. The patient was referred for an in-patient cardiac MRI scan (CMRI) to quantify left ventricular (LV) function and viability. A repeat CMRI was requested 3 months later as an out-patient, to check that LV thrombus demonstrated on the first scan had resolved after treatment.
Highlights
A 55 year old patient presented late to the emergency department following an ST elevation myocardial infarction (STEMI).Coronary angiogram demonstrated occluded left anterior descending artery with backfilling from collaterals
The patient was referred for an in-patient cardiac MRI scan (CMRI) to quantify left ventricular (LV) function and viability
As the majority of this scar was greater than 75% thickness, with the associated microvascular obstruction (MVO), residual viability was unlikely
Summary
A 55 year old patient presented late to the emergency department following an ST elevation myocardial infarction (STEMI). Coronary angiogram demonstrated occluded left anterior descending artery with backfilling from collaterals. The patient was referred for an in-patient cardiac MRI scan (CMRI) to quantify left ventricular (LV) function and viability. A repeat CMRI was requested 3 months later as an out-patient, to check that LV thrombus demonstrated on the first scan had resolved after treatment
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