Underestimation of Residual Ischemia by 201-Thallium Scintigraphy after Myocardial Infarction

Autor: Galli, Michele, Bencivelli, Walter, Franchetti Pardo, Nicolò, Tavazzi, Luigi
Zdroj: Chest; October 1988, Vol. 94 Issue: 4 p876-878, 3p
Abstrakt: Pre- and post-CABG perfusion scintigraphic findings are reported in a patient with residual ischemia after anterior myocardial infarction. The preoperative 201 T1 scan showed incomplete tracer redistribution and a relevant area of persistent irreversible defect, suggestive of a large scar. After CABG, the presence of a virtually normal early thallium distribution demonstrated previous underestimation of the viable perinecrotic tissue. A persistent perfusion defect, even if associated with wall motion abnormality, does not necessarily imply the absence of residual viable tissue. (Chest 1988; 94:876-78)
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