Cardiac delayed enhancement distribution in extralysosomial glycogen storage disease.
We describe magnetic resonance (MR) aspect of cardiac glycogenesis in a 49-years old man, presented a progressively declining cardiac function and negative coronary angiography. Delayed enhancement MR confirmed non-ischemic pattern with unusual diffuse distribution of Gadolinium. Cardiac biopsy revealed a Glycogen Storage Disease, extralysosomial type. Cardiac MR with analysis of delayed enhancement distribution is an emerging tool that can discriminate between ischemic and non-ischemic diseases; however to identify the precise aetiology of a non-ischemic distribution, myocardial biopsy is still needed.
Fiocchi
Federica
F
Dipartimento Integrato dei Servizi Diagnostici e per Immagine, Università degli Studi di Modena e Reggio Emilia-Azienda Policlinico, Modena, Italia. federica.fiocchi@gmail.com
Ricci
Caterina
C
Ligabue
Guido
G
Reggianini
Letizia
L
Modena
Maria G
MG
Cenacchi
Giovanna
G
Torricelli
Pietro
P
D003287:Contrast Media; D006008:Glycogen Storage Disease / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D019028:Magnetic Resonance Imaging, Cine / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000209:etiology
D003287:Contrast Media