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CardioVascular and Interventional Radiology

Published in:

01-08-2006

Cardiac Amyloidosis: Typical Imaging Findings and Diffuse Myocardial Damage Demonstrated by Delayed Contrast-Enhanced MRI

Authors: Eijun Sueyoshi, Ichiro Sakamoto, Tomoaki Okimoto, Kuniaki Hayashi, Kyouei Tanaka, Genji Toda

Published in: CardioVascular and Interventional Radiology | Issue 4/2006

Abstract

Amyloidosis is a rare systemic disease. However, involvement of the heart is a common finding and is the most frequent cause of death in amyloidosis. We report the sonographic, scintigraphic, and MRI features of a pathologically proven case of cardiac amyloidosis. Delayed contrast-enhanced MR images, using an inversion recovery prepped gradient-echo sequence, revealed diffuse enhancement in the wall of both left and right ventricles. This enhancement suggested expansion of the extracellular space of the myocardium caused by diffuse myocardial necrosis secondary to deposition of amyloid.

Wynne J, Braunwald E (2001) The cardiomyopathies and myocarditides. In: Braunwald E (ed) Heart disease: A textbook of cardiovascular medicine. WB Saunders, Philadelphia, pp 1751–1806

Urban BA, Fishman EK, Goldman SM, et al (1993) CT evaluation of amyloidosis: Spectrum of disease. Radiographics 13:1295–1308PubMed

Schiff S, Bateman T, Moffatt R, et al (1982) Diagnostic considerations in cardiomyopathy: Unique scintigraphic pattern of diffuse biventricular technetium-99m-pyrophosphate uptake in amyloid heart disease. Am Heart J 103:562–563PubMedCrossRef

Fattori R, Rocchi G, Celletti F, et al (1998) Contribution of magnetic resonance imaging in the differential diagnosis of cardiac amyloidosis and symmetric hypertrophic cardiomyopathy. Am Heart J 136:824–830PubMedCrossRef

Bogaert J, Taylor AM, Van Herkhove F, et al (2004) Use of inversion recovery contrast-enhanced MRI for cardiac imaging: Spectrum of application. AJR Am J Roentgenol 182:609–615PubMed

Kim RJ, Wu E, Rafael A, et al (2000) The use of contrast-enhanced magnetic resonance imaging to identify reversible myocardial dysfunction. N Engl J Med 343:1445–1453PubMedCrossRef

Rehwald WG, Fieno DS, Chen E, et al (2000) Myocardial magnetic resonance imaging contrast agent concentrations after reversible and irreversible ischemic injury. Circulation 105:224–229CrossRef

Simonetti OP, Kim RJ, Fieno DS, et al (2001) An improved MR imaging technique for the visualization of myocardial infarction. Radiology 218:215–223PubMed

Title: Cardiac Amyloidosis: Typical Imaging Findings and Diffuse Myocardial Damage Demonstrated by Delayed Contrast-Enhanced MRI
Authors: Eijun Sueyoshi
Ichiro Sakamoto
Tomoaki Okimoto
Kuniaki Hayashi
Kyouei Tanaka
Genji Toda
Publication date: 01-08-2006
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 4/2006
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-004-0162-x

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Cardiac Amyloidosis: Typical Imaging Findings and Diffuse Myocardial Damage Demonstrated by Delayed Contrast-Enhanced MRI

Abstract

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Abstract

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