Thallium-201 myocardial SPECT in a patient with mirror-image dextrocardia and left bundle branch block.
Ann Nucl Med
; 17(6): 503-6, 2003 Sep.
Article
en En
| MEDLINE
| ID: mdl-14575388
ABSTRACT
A 53-year-old male patient with a previous diagnosis of situs inversus with mirror-image dextrocardia underwent thallium-201 (Tl-201) stress-redistribution myocardial perfusion single photon emission computed tomography (SPECT). Electrocardiogram (ECG) obtained on right hemithorax revealed constant complete left bundle branch block. Tl-201 stress-redistribution SPECT images revealed abnormal perfusion with reversible ischemia in the anteroseptal, septal and inferoseptal walls. Coronary angiography performed 1 month after SPECT study was normal. This case illustrates that false positive reversible perfusion defects can be seen in patients with mirror-image dextrocardia associated with constant complete left bundle branch block. To our knowledge, this is the first reported case of mirror-image dextrocardia and constant complete left bundle branch block with false positive Tl-201 SPECT findings.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Talio
/
Enfermedad de la Arteria Coronaria
/
Bloqueo de Rama
/
Tomografía Computarizada de Emisión de Fotón Único
/
Dextrocardia
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Nucl Med
Asunto de la revista:
MEDICINA NUCLEAR
Año:
2003
Tipo del documento:
Article
País de afiliación:
Turquía