Abstract
A 56-year-old man with acute myocardial infarction of the inferior wall was treated with thrombolytic therapy during emergency coronary angiography. Ten days later, In-111 oxine platelet imaging was performed using a hybrid single-photon emission computed tomography (SPECT)/computed tomography (CT) scanner and a continuous abnormal uptake was detected in the trunk of the right coronary artery (RCA). Thin-slice thoracic contrast-enhanced CT verified that the accumulation corresponded to the remaining thrombus in the dilated RCA. This case highlights the usefulness of In-111 oxine platelet imaging for detecting a coronary arterial thrombus. The value of hybrid SPECT/CT imaging for its correct localization is also stressed.
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