TY - JOUR
T1 - Noninvasive assessment of myocardium at risk by TI-201 SPECT imaging in a child with Kawasaki disease
T2 - A case report
AU - Civelek, A. C.
AU - Kavanaugh-McHugh, A.
AU - Ozguven, M. A.
AU - Durski, K.
AU - Camargo, E. E.
PY - 1992/1/1
Y1 - 1992/1/1
N2 - Serial two-dimensional echocardiograms documented the formation of giant aneurysms, measuring from 0.55 to 3.1 cm in diameter, in the distribution of the left and right coronary arteries, in a 2 1/2 -year-old boy with Kawasaki disease. His global left ventricular function, assessed by M-mode echocardiography, was normal, and no significant wall motion abnormalities could be detected on two-dimensional evaluation. Cardiac catheterization showed multiple aneurysms with no evidence of stenosis. Although he had no clinical symptoms or electrocardiographic evidence of ischemia, pharmacologic stress and delayed TI-201 SPECT images revealed prominent stress-induced myocardial ischemia in the left ventricle. A resting gated blood pool study showed hypokinesia in corresponding regions of the left ventricle. This case demonstrates the usefulness of TI-201 myocardial SPECT imaging and resting gated blood pool studies in the management of coronary artery disease in children with Kawasaki disease.
AB - Serial two-dimensional echocardiograms documented the formation of giant aneurysms, measuring from 0.55 to 3.1 cm in diameter, in the distribution of the left and right coronary arteries, in a 2 1/2 -year-old boy with Kawasaki disease. His global left ventricular function, assessed by M-mode echocardiography, was normal, and no significant wall motion abnormalities could be detected on two-dimensional evaluation. Cardiac catheterization showed multiple aneurysms with no evidence of stenosis. Although he had no clinical symptoms or electrocardiographic evidence of ischemia, pharmacologic stress and delayed TI-201 SPECT images revealed prominent stress-induced myocardial ischemia in the left ventricle. A resting gated blood pool study showed hypokinesia in corresponding regions of the left ventricle. This case demonstrates the usefulness of TI-201 myocardial SPECT imaging and resting gated blood pool studies in the management of coronary artery disease in children with Kawasaki disease.
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U2 - 10.1097/00003072-199203000-00007
DO - 10.1097/00003072-199203000-00007
M3 - Article
C2 - 1611789
AN - SCOPUS:0026625772
SN - 0363-9762
VL - 17
SP - 191
EP - 194
JO - Clinical nuclear medicine
JF - Clinical nuclear medicine
IS - 3
ER -