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Imaging: Student/Resident Case Report Poster - Imaging |

Epicardial Fat Associated With a Type IV “Wrap-Around” Left Anterior Descending Artery (LAD) Mimicking Right Ventricular Apical Thrombus

Hoyle Whiteside, BS; Amudhan Jyothidasan, MD; Preston Conger, MD; Jayanth Keshavamurthy, MD; Gyanendra Sharma, MD
Author and Funding Information

Medical College of Georgia, Augusta, GA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):668A. doi:10.1016/j.chest.2016.08.762
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SESSION TITLE: Student/Resident Case Report Poster - Imaging

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: A right ventricular (RV) apical mass on transthoracic echocardiogram (TTE) is generally considered to be a thrombus. We report a case, in which a RV apical mass was proven to be epicardial fat surrounding the distal LAD. By definition, a type III LAD occurs when the apex of the heart is completely supplied by the LAD and is present in 77% of patients.1 A type IV LAD, in which the LAD wraps around the apex to supply a portion of the RV, is the second most common type with a prevalence of 16.4%.1

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