Publique en esta revista
Información de la revista
Vol. 39. Núm. 4.
Páginas 261 (Mayo 2015)
Compartir
Compartir
Descargar PDF
Más opciones de artículo
Vol. 39. Núm. 4.
Páginas 261 (Mayo 2015)
Images in Intensive Medicine
DOI: 10.1016/j.medin.2014.11.001
Acceso a texto completo
Contrast-enhanced signs of cardiac arrest during CT
Signos de parada cardiaca durante la realización de un TAC con contraste
Visitas
...
S. Millána, X. Gallardob, I. Martin-Loechesc,
Autor para correspondencia
drmartinloeches@gmail.com

Corresponding author.
a Critical Care Centre, Corporació Sanitària i Universitaria Parc Taulí - Hospital de Sabadell, Sabadell, Barcelona, Spain
b Department of Radiology, UDIAT-Centre Diagnostic, Institut Universitari Parc Tauli-UAB, Sabadell, Barcelona, Spain
c Multidisciplinary Intensive Care Research Organization (MICRO), St James's University Hospital, Trinity Centre for Health Sciences, Dublin, Ireland
Información del artículo
Texto completo
Descargar PDF
Estadísticas
Figuras (2)
Texto completo

A 78-year-old woman with a history of smoking, hypertension, chronic obstructive pulmonary disease, and type 2 diabetes mellitus presented sudden death. After advanced life support, she recovered a pulse. On the EKG, a newly acquired right bundle branch block (RBBB) was detected and she was urgently transferred to the CT scanner to rule out a massive pulmonary embolism. During image acquisition, the patient became hypotensive and suffered another cardiac arrest.

Contrast-enhanced multidetector CT showed “passive” filling of the right cardiac chambers with contrast material occupying the lower part of the chambers.

Retrograde flow of the contrast agent was also observed through the right atrium into the coronary sinus and the great cardiac vein, filling the cardiac veins of the left ventricle (Fig. 1), and from the inferior vena cava into the right hepatic vein and right hepatic lobe (Fig. 2).

Fig. 1.

Contrast in the lower part of the right atrium and ventricle (arrowheads). Retrograde filling of the coronary sinus (*) and cardiac veins of the left ventricle (arrows).

(0,11MB).
Fig. 2.

Retrograde flow of contrast through the inferior vena cava to the right hepatic vein and the most gravity-dependent areas of the right hepatic lobe.

(0,12MB).

These findings are pathognomonic of the absence of blood flow during the procedure.

After 30min advanced life support, the patient died.

Copyright © 2014. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva

Suscríbase a la newsletter

Opciones de artículo
Herramientas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.