Noninvasive assessment of myocardium at risk by TI-201 SPECT imaging in a child with Kawasaki disease: A case report

A. C. Civelek, A. Kavanaugh-McHugh, M. A. Ozguven, K. Durski, E. E. Camargo

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)191-194
Number of pages4
JournalClinical nuclear medicine
Volume17
Issue number3
DOIs
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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