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50-year-old male with unclear chest pain

posted by Thorsten R. C. Johnson, M.D. | Nov 21, 2007
Thorsten R. C. Johnson, M.D.
  • Even at the high heart rate of 92 beats per minute, the heart is depicted without motion artifacts.
  • The hypodense subendocardial area in the anterior wall of the left ventricle corresponds to a scar from myocardial infarction.
  • The whole coronary artery tree can be extracted automatically using a specific software. There is no occlusion.
  • A very radiolucent and fully patent stent is visible in the proximal LAD (arrow). Additionally there is a moderate, partly calcified stenosis further distal.

Case history A 50-year-old male with known coronary artery disease presents with acute chest pain two weeks after stenting of the left anterior descending coronary artery. Question Is the stent occluded? Is there a restenosis or another coronary artery stenosis? Is there another cause of chest pain? Diagnosis / Differential diagnosis The differential diagnoses in … Read more

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