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Washington University Experience | VASCULAR | Infarct - Subacute | 12A1 (Case 12) Gross image
Case 12 History ---- The patient was an 81-year-old woman with a medical history of coronary artery disease status-post coronary artery bypass graft, myocardial infarction, mitral valve valvuloplasty, atrial fibrillation, chronic obstructive pulmonary disease and osteoarthritis. She presented to the ED August 10 after having an acute episode of near syncope while watching television at home and she also fell and hit/landed on her head. Non-contrast head CT showed no fracture but old left cerebellar and right caudate infarcts, and periventricular white matter changes consistent with chronic small vessel ischemic disease. On the afternoon of August 11 the patient developed a sudden onset of abdominal pain was interpreted as concerning for small bowel ischemia in the setting of left atrial thrombus. Emergent surgical intervention was offered to the family who declined and the patient passed on August 12. ---- 12A1 An image of a cerebellar hemorrhage is accompanied by significant areas of subacute and remote infarcts.
