Myocardial Contrast Defect Associated with Thrombotic Coronary Occlusion: Pre-Autopsy Diagnosis of a Cardiac Death with Post-Mortem CT Angiography.
10.3348/kjr.2015.16.5.1024
- Author:
Heon LEE
1
;
Hyejin PARK
;
Jang Gyu CHA
;
Sookyoung LEE
;
Kyungmoo YANG
Author Information
1. Department of Radiology, Soonchunhyang University Hospital, Bucheon 14584, Korea. acarad@naver.com
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Post-mortem radiology;
CT angiography;
Coronary thrombosis;
Myocardial perfusion
- MeSH:
*Autopsy;
Coronary Occlusion/*diagnosis/etiology/radiography;
Coronary Vessels/pathology/radiography;
Female;
Humans;
Middle Aged;
Myocardial Infarction/etiology/pathology;
Myocardium;
Thrombosis/complications/*diagnosis;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2015;16(5):1024-1028
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a female who died of suspected acute myocardial infarction. Post-mortem CT angiography (PMCTA) was performed with intravascular contrast infusion before the standard autopsy, and it successfully demonstrated the complete thrombotic occlusion of a coronary artery and also a corresponding perfusion defect on myocardium. We herein describe the PMCTA findings of a cardiac death with special emphasis on the potential benefits of this novel CT technique in forensic practice.
