Computed Tomography (CT) Findings in Imminent Cardiac Failure
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: Imaging a patient who is in imminent cardiac arrest, is not of common occurrence but cases can be seen in busy emergency departments, where contrast enhanced computed tomography (CT) examinations are being carried routinely. These CT examinations are conducted to assess the internal injuries especially in patients of poly-trauma who are vulnerable to undergo hypovolemic shock. Findings of layering of contrast in right sided heart chambers, inferior vena cava (IVC), hepatic and renal veins with parenchymal blush due to contrast reflux are salient imaging findings with associated poor contrast filling of aorta and systemic arteries. Case report: In this case report we describe one such situation where a young, male patient who suffered multiple injuries developed cardiac arrest during the CT examination and was successfully revived while the patient was still in CT room. He showed similar findings of imminent cardiac arrest as described above. Conclusion: Specific imaging findings of contrast layering in the venous circulation with parenchymal reflux and reduced systemic arterial contrast filling are helpful in diagnosing a rare condition of imminent cardiac failure during CT scanning and adequate resuscitative measures can be undertaken while the patient is still in CT room.
Authors and Affiliations
Puneet Garg, Mahesh Kumar Mittal, Nisha Rathi, Shabnam Bhandari Grover
Keywords
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- EP ID EP423907
- DOI 10.21276/ijcmsr.2018.3.2.22
- Views 175
- Downloads 0
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