Hypertrophic Cardiomyopathy Complicated by Left Ventricular Apical Necrosis and Aneurysm in a Young Man: FDG-PET Findings.
10.3904/kjim.2007.22.1.28
- Author:
Jong Seon PARK
1
;
Ihn Ho CHO
;
Dong Gu SHIN
;
Young Jo KIM
;
Gu Ru HONG
;
Bong Sup SHIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yeungnam University Hospital, Daegu, Korea. yjkim@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Hypertrophic Cardiomyopathy;
Aneurysm;
Positron Emission Tomography
- MeSH:
Tomography, X-Ray Computed;
Positron-Emission Tomography;
Necrosis/complications/*diagnosis;
Male;
Humans;
Heart Ventricles/*pathology;
Heart Aneurysm/complications/*diagnosis;
Fluorodeoxyglucose F18/diagnostic use;
Contrast Media;
Cardiomyopathy, Hypertrophic/complications/*diagnosis;
Angiography, Digital Subtraction;
Adult
- From:The Korean Journal of Internal Medicine
2007;22(1):28-31
- CountryRepublic of Korea
- Language:English
-
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.
