Thallium-201 myocardial SPECT in a patient with mirror-image dextrocardia and left bundle branch block

被引：5
作者：
Turgut, B [1 ]
Kitapci, MT
Temiz, NH
Ünlü, M
Erselcan, T
机构：
[1] Cumhuriyet Univ, Sch Med, Dept Nucl Med, TR-58140 Sivas, Turkey
[2] Gazi Univ, Sch Med, Dept Nucl Med, Ankara, Turkey
来源：
ANNALS OF NUCLEAR MEDICINE | 2003年 / 17卷 / 06期
关键词：
thallium-201; myocardial SPECT; mirror image dextrocardia; left bundle branch block;
D O I：
10.1007/BF03006443
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
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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收藏
页码：503 / 506
页数：4
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