A young male with symptoms of coronary artery disease, shows occlusion of LAD and RCA on cath. CEMRI shows delayed enhancement of transmural nature in the myocardial segments 1, 4, 5, 8, 10 to 12 and 15 to 16 suggesting possible scar formation. There is hypokinesia on the cine loops in the regions affected. Presence of Delayed contrast enhancement of the myocardium on inversion recovery gradient echo picture would suggest it to be scar. Case Submitted by Dr MGK Murthy, Dr Krishna Murthy.
Myocardial segments are named and localized with regards to wall motion abnormalities and delayed enhancement pattern according to American Heart Association classification and are assigned to three major coronary territories.
Apex = No. 17.