Subacute clot mimicking flow in a thrombosed arterial bypass graft on two-dimensional time-of-flight and three-dimensional contrast-enhanced MRA

J Magn Reson Imaging. 2000 Feb;11(2):192-4. doi: 10.1002/(sici)1522-2586(200002)11:2<192::aid-jmri17>3.0.co;2-1.

Abstract

Subacute intravascular thrombus can contain methemoglobin, which results in very short spin-lattice (T1) relaxation times. We describe a case of a 78-year-old man with increasing right lower extremity claudication. The patient had a thrombosed arterial bypass graft showing high signal intensity that mimicked flow on both two-dimensional time-of-flight and three-dimensional contrast-enhanced MR angiography. Misinterpretation of the high signal thrombus as flowing blood can be avoided by obtaining a precontrast T1-weighted sequence.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Graft Occlusion, Vascular / diagnosis*
  • Humans
  • Image Processing, Computer-Assisted
  • Leg / blood supply
  • Magnetic Resonance Angiography / methods*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Regional Blood Flow
  • Thrombosis / diagnosis*