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59 year old male presented with chest pain

Thrombus Adjacent to the RCA Ostium
59 year old male presented with chest pain
CTA shows thrombus in close proximity to the origin of the RCA was identified (top and middle row)  The bottom row shows the proximal RCA is widely patent
Ashley Davidoff thecommonvein.net
131080c

 

Thrombus Adjacent to the RCA Ostium
59 year old male presented with chest pain
3D reconstructions show thrombus in close proximity to the origin of the RCA (top row) and a patent RCA (bottom row)
Ashley Davidoff thecommonvein.net
131081c

He was anticoagulated and thrombus disappeared on subsequent CT, 3 months later.

3 Months Later Following Anticoagulation
He was anticoagulated and thrombus resolved on subsequent CT.
The right coronary artery is widely patent noted in the axial images (top row) and the reconstructions of the RCA below.
Ashley Davidoff thecommonvein.net
131082b
LAD Disease
He was anticoagulated and thrombus resolved on subsequent CT.
Reconstructions of the LAD above showed mild LAD disease. Both calcified plaque and non-calcified plaque were identified The calcified proximal lesion was felt to be mild on multiple views.
The circumflex artery (below) was normal
Ashley Davidoff thecommonvein.net
131083c