MRI demonstration of acute myocardial infarction due to posttraumatic coronary artery dissection

Case Report


A case of left ventricular lateral wall myocardial infarction in the distribution of circumflex coronary artery (LCX) was demonstrated by magnetic resonance imaging in a 55-year-old woman. Dissection of the proximal LCX due to blunt chest trauma was followed by percutaneous coronary artery stenting. MR (magnetic resonance) imaging of myocardial infarction is reviewed.

Key words

coronary dissection coronary stent delayed enhancement magnetic resonance imaging 


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  1. 1.
    Butler R, Webster MWI, Davies G et al. (2005). Spontaneous dissection of native coronary arteries. Heart 91:223–224CrossRefPubMedGoogle Scholar
  2. 2.
    Parry R, MacConnell T, Wilde P. (1994). Case report: Spontaneous coronary artery dissection. Clin Radiol 49:142–3PubMedCrossRefGoogle Scholar
  3. 3.
    Lee TB, Lee W-Z. Blunt chest injury with traumatic dissection of right coronary artery. The Journal of Trauma. 2002; 53(3): 617Google Scholar
  4. 4.
    Tebeica M, Swaminatham SV, Weissman NJ, Rai P, Fuisz A. (2003). Visualization of Left main coronary dissection by Magnetic Resonance coronary angiography. Circulation 108: 1034CrossRefPubMedGoogle Scholar
  5. 5.
    Petersen SE, Horstick G, Voigtlander T, et al. (2003). Diagnostic value of routine clinical parameters in acute myocardial infarction: a comparison to delayed contrast enhanced magnetic resonance imaging. Delayed enhancement and routine clinical parameters after myocardial infarction. Int J Cardiovascular Imaging. 19(5):417–8CrossRefGoogle Scholar
  6. 6.
    Choi KM, Kim RJ, Gunernikoff G, Vargas JD, Parker M, Judd RM. (2001). Transmural extent of acute myocardial infarction predicts long term improvement in contractile function. Circulation 104:1101–7PubMedCrossRefGoogle Scholar
  7. 7.
    Gupta A, Lee VS, Chung YC, Babb JS, Simonetti OP. (2004). Myocardial infarction:Optimization of inversion times at delayed contrast enhanced MR imaging. Radiology 233:921–26PubMedCrossRefGoogle Scholar
  8. 8.
    Ambrosio G, Weisman HF, Mannisi JA, Becker LC. (1989). Progressive impairment of regional myocardial perfusion after initial restoration of post ischemic blood flow. Circulation 80:1846–1861PubMedGoogle Scholar
  9. 9.
    Wu KC, Kim RJ, Bluemke DA et al. (1998). Qantification and time course of microvascular obstruction by contrast enhanced echocardiography and magnetic resonance imaging following acute myocardial infarction and reperfusion. J Am Coll Cardiol 32:1756–1764CrossRefPubMedGoogle Scholar
  10. 10.
    Wu KC, Zerhouni EA, Judd RM, et al. (1998). Prognostic significance of microvascular obstruction ny magnetic resonance imaging in patients with acute myocardial infarction. Circulation 97:765–772PubMedGoogle Scholar
  11. 11.
    Thomson LEJ, Kim RJ, Judd RM. (2004). MRI for the assessment of myocardial viability. Journal of magnetic resonance imaging 19:771–788PubMedCrossRefGoogle Scholar
  12. 12.
    Choi CJ, Momenian SH, DiMaria JM, et al. (2004). Infarct involution and improved function during healing of acute myocardial infarction: The role of microvascular obstruction. Journal of cardiovascular magnetic resonance 4:917–925CrossRefGoogle Scholar
  13. 13.
    Fildes JJ, Betlej TM, Manglano R, Martin M, Rogers F, Barrett JA. (1995). Limiting cardiac evaluation in patients with suspected myocardial contusion. Am Surg 61: 832PubMedGoogle Scholar
  14. 14.
    Descat E, Montaudon M, Latrabe V, Surcin B, Morales P, Laurent F. (2002). MR imaging of myocardial haematoma after blunt chest injury. European Radiology 12:174–176Google Scholar
  15. 15.
    Moon JCC, De Areneza DP, Elkington AG, et al. (2004). The pathologic basis of Q-wave and non Q- wave myocardial infarction. A cardiovascular magnetic resonance study. J Am Coll Cardiol 44:554–60PubMedCrossRefGoogle Scholar
  16. 16.
    Gerber TC, Fassesas P, Lennon RJ, et al. (2003). Clinical safety of magnetic resonance imaging early after coronary artery stent placement. Journal of the American College of Cardiology 7:1295–1298CrossRefGoogle Scholar
  17. 17. Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Savas M. Tepe
    • 1
  • James F. Glockner
    • 1
  • Paul Julsrud
    • 1
  1. 1.Department of RadiologyMayo ClinicRochesterUSA

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