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Hypertrophic Cardiomyopathy Complicated by Left Ventricular Apical Necrosis and Aneurysm in a Young Man: FDG-PET Findings
The Korean Journal of Internal Medicine ; : 28-31, 2007.
Artículo en Inglés | WPRIM | ID: wpr-199148
ABSTRACT
A 29-year old male was transferred to our hospital with an abnormal chest X-ray finding diagnosed as hypertrophic cardiomyopathy with apical necrosis and aneurysm formation. Four years after the initial hospitalization, we confirmed the aneurysm and necrosis using both integrated positron emission tomography (PET) and computed tomography (CT) scanning. The F-18 2-fluoro-2-deoxy-D-glucose (FDG) PET/CT enabled precise localization of the aneurysm, which was found to be composed of semi-lunar calcification of non-metabolic myocardium. A contrast-enhanced CT angiography showed an hour-glass appearance of the left ventricular cavity. The integrated PET/CT fusion scanner is a novel multimodality technology that allows for a comprehensive analysis of the anatomical and functional status of complex heart disease. Based on these findings, long standing mechanical and physiologic abnormalities may have led to chronic ischemia in the hypertrophied myocardium, induced necrosis and calcification at the cardiac apex.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cardiomiopatía Hipertrófica / Tomografía Computarizada por Rayos X / Angiografía de Substracción Digital / Medios de Contraste / Fluorodesoxiglucosa F18 / Tomografía de Emisión de Positrones / Aneurisma Cardíaco / Ventrículos Cardíacos / Necrosis Tipo de estudio: Estudio diagnóstico Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: The Korean Journal of Internal Medicine Año: 2007 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cardiomiopatía Hipertrófica / Tomografía Computarizada por Rayos X / Angiografía de Substracción Digital / Medios de Contraste / Fluorodesoxiglucosa F18 / Tomografía de Emisión de Positrones / Aneurisma Cardíaco / Ventrículos Cardíacos / Necrosis Tipo de estudio: Estudio diagnóstico Límite: Adulto / Humanos / Masculino Idioma: Inglés Revista: The Korean Journal of Internal Medicine Año: 2007 Tipo del documento: Artículo