Acute coronary syndrome on non-electrocardiogram-gated contrast-enhanced computed tomography

Figure 13 Corresponding invasive coronary angiography in postinfarct cardiac free wall rupture. Same patient as Figure 12. A: Invasive coronary angiography showed total occlusion in the distal site of the left circumflex coronary artery (arrow); B: The right coronary artery showed no significant stenosis. The patient subsequently underwent a surgical operation. After removal of the large clot within the pericardium, a small perforation was found in the lateral wall of the left ventricle, confirming a definitive diagnosis of left ventricular free wall rupture.