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ORIGINAL ARTICLE Comprehensive Multidetector Computed Tomography Assessment of Severe Cardiac Contusion in a Pediatric Patient Correlation With Echocardiography Eduard Ghersin, MD,* Asaad Khoury, MD,† Diana Litmanovich, MD,* Avraham Lorber, MD,† Miki Halberthal, MD,‡ Ahuva Engel, MD,* and Jonathan Lessick, MD§ wall ST segment depression. On the next day, cardiac enzyme levels Summary: Multidetector computed tomography (MDCT) cardiac were markedly elevated with troponin I levels of 23 ng/mL and creatine phosphokinase levels of 13,440 U/L. Transthoracic findings in an unconscious teenager after blunt chest trauma are pre- echocardiographic evaluation revealed global left ventricular dys- sented. Multidetector computed tomography enabled accurate compre- function with a measured ejection fraction of 30% and severe regional hensive evaluation of the coronary arteries, myocardial perfusion, hypokinesis of the anterior and septal walls (Fig. 1). The electro- and left ventricular function. This case illustrates the full capabilities cardiographic changes and elevated cardiac enzymes, coupled with of MDCT in the evaluation of cardiac contusion in a noncooperative the pathologic findings on transthoracic echocardiography, led to the pediatric patient. suspicion of a traumatic insult to the left anterior descending coronary artery, and cardiac MDCT was ordered. Multidetector computed Key Words: cardiac contusion, myocardial perfusion, cardiac tomography was performed
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Nov 1, 2005
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