Spontaneous development of left ventricular aneurysm in a patient with untreated cardiac sarcoidosis.
A young adult patient with untreated sarcoidosis spontaneously developed a left ventricular (LV) aneurysm in the anterolateral free wall. Single-photon emission computed tomography (SPECT) using Gallium-67 clearly demonstrated widespread abnormal uptake, including the LV aneurysm. Thallium-201 SPECT revealed a perfusion defect in the anterolateral wall, and abnormal uptake of technetium-99m pyrophosphate was seen, especially in the borders of the defect lesion.
Haraki
Tatsuo
T
Department of Internal Medicine, Komatsu Municipal Hospital, Japan. tatsuo.h@p2242.nsk.ne.jp
Ueda
Kousei
K
Shintani
Hiromoto
H
Hayashi
Tatsumi
T
Taki
Junichi
J
Mabuchi
Hiroshi
H
D000328:Adult; D004452:Echocardiography; D004562:Electrocardiography; D005710:Gallium Radioisotopes; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D012507:Sarcoidosis / Q000150:complications*; D016698:Technetium Tc 99m Pyrophosphate; D013794:Thallium Radioisotopes; D015899:Tomography, Emission-Computed, Single-Photon
D005710:Gallium Radioisotopes; D013794:Thallium Radioisotopes; D016698:Technetium Tc 99m Pyrophosphate