Correlation of Cardiac Magnetic Resonance Imaging and Histopathology in Eosinophilic Endomyocarditis
| Autor: | Akos Varga-Szemes, Carlo N. De Cecco, Laura Spruill, U. Joseph Schoepf, Pal Suranyi, Stefan Baumann, W. Benjamin Wince |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Biopsy Contrast Media Magnetic Resonance Imaging Cine endocarditis heart failure magnetic resonance imaging myocarditis pathology Necrosis Fatal Outcome Predictive Value of Tests Cardiac magnetic resonance imaging Eosinophilia medicine Humans Radiology Nuclear Medicine and imaging Thrombus Aged medicine.diagnostic_test business.industry Myocardium Interstitial lung disease Magnetic resonance imaging medicine.disease Fibrosis Pulmonary embolism Myocarditis medicine.anatomical_structure Ventricle Heart failure Female Autopsy Radiology Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation: Cardiovascular Imaging. 8 |
| ISSN: | 1942-0080 1941-9651 |
| Popis: | A 71-year-old white woman was admitted for the evaluation of progressive dyspnea. Her medical history was remarkable for 3 episodes of pneumonia and asthma with peripheral eosinophilia. As a part of her diagnostic evaluation, a contrast-enhanced computed tomographic scan of the chest was performed, which excluded pulmonary embolism and interstitial lung disease. Transthoracic echocardiogram revealed right-sided chamber enlargement, with a mildly hypokinetic right ventricle and an estimated right ventricle systolic peak pressure of 58 mm Hg. Moreover, an area of increased echogenicity was noted at the apex of the left ventricle (LV) consistent with possible LV apical mass (Movie I in the Data Supplement). Cardiac magnetic resonance imaging (MRI) (Siemens Magnetom Avanto 1.5T VB15; Siemens Healthcare, Erlangen, Germany) was obtained to characterize the mass further. Cine MR images (Movie II in the Data Supplement) confirmed the presence of an apical LV mass with obliteration of the midventricular and apical segments and associated regional dysfunction. After the administration of 0.1 mmol/kg gadopentetate dimeglumin (Magnevist, Bayer, Germany), early postcontrast images (Figure 1A) demonstrated the avascular nature of the mass consistent with thrombus. Delayed images (Figure 1B and 1C) revealed diffuse subendocardial hyperenhancement, most apparent in the … |
| Databáze: | OpenAIRE |
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