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Eur J Radiol Open. 2020 Jul 08;7:100245. doi: 10.1016/j.ejro.2020.100245. eCollection 2020.

Incidental, non-gated thoracic CT angiographic detection of proximal right coronary artery total occlusion associated with acute myocardial infarction.

European journal of radiology open

Rene Epunza Kanza, Samir Ayoub, Francis Bonenfant

Affiliations

  1. Department of Radiology, Chicoutimi Hospital, Saguenay, QC, G7H5H6, Canada.
  2. Faculty of Medicine, University of Sherbrooke, Sherbrooke, QC, J1H 5N4, Canada.
  3. Department of Cardiology, Chicoutimi Hospital, Saguenay, QC, G7H5H6, Canada.

PMID: 32676523 PMCID: PMC7352071 DOI: 10.1016/j.ejro.2020.100245

Abstract

Herein, we present a case of a right coronary artery proximal occlusion and acute myocardial infarction with absence of the reverse attenuation gradient sign that was incidentally identified in the emergency room with non-gated computed tomography angiography of the aorta performed to rule out aortic dissection. This case highlights the importance of assessing the heart and coronary arteries even on non-gated computed tomography angiography.

© 2020 The Authors.

Keywords: Aorta; CTA; Non-gated computed tomography angiography; Occlusion; RAG sign; RCA

Conflict of interest statement

None of the authors has any relevant conflict of interest or industry support related to this report.

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