Abstract

A 60-year-old man presented with acute myocardial infarction and 4-mm ST-segment elevation in leads V3–V6 after 10 h onset of pain. Coronary angiography revealed proximal occlusion of the left circumflex coronary artery that was successfully stented. Multislice computed-tomography (MSCT) cardiac study was performed 24 h after PCI. MSCT (Toshiba Aquilion 16-slice system) left-ventricular images obtained immediately after iodine-contrast intravenous administration (120 mL at 5 mL/s with 350 mg/mL iodine concentration) showed subendocardial area of reduced signal intensity attributable to a perfusion defect in the lateral wall (Panel A). A second acquisition, 7 min after contrast injection, showed …

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