J Cardiovasc Imaging.  2019 Apr;27(2):158-161. 10.4250/jcvi.2019.27.e18.

Progressive Right Ventricular Aneurysm in a Patient with Systemic Sarcoidosis

• Hirose K
• Amiya E
• Ishizuka M
• Uehara M
• Komuro I

• KMID: 2442753
• DOI: http://doi.org/10.4250/jcvi.2019.27.e18

Abstract

No abstract available.

MeSH Terms

Aneurysm*
Humans
Sarcoidosis*

Figure

• 

  Figure 1 (A) Electrocardiogram (ECG) at the initial admission shows right bundle branch block. (B) ECG performed 8 years after the initial admission revealed a newly inverted T wave in leads V2–3. (C) At the current admission, the ECG shows a newly inverted T wave in leads II, III, aVF, V4, and V5.

• 

  Figure 2 (A, B) A transthoracic echocardiogram in the parasternal short axis view shows severe RV dilatation and LV compression (A: diastole, B: systole). (C, D) Apical four-chamber view reveals severe RV dilatation with apical aneurysm (C: arrows) and severe tricuspid regurgitation (D: arrows). (E, F) Apical four-chamber RV-focused view also shows RV aneurysm in diastole (E: arrows) and systole (F: arrows). LA: left atrium, LV: left ventricle, RA: right atrium, RV: right ventricle.

• 

  Figure 3 Functional (cine) cardiac magnetic resonance images in the four-chamber view in diastole (A) and systole (B) show normal LV function, RV dilatation and RV apical aneurysm. The corresponding cine (C) and contrast-enhanced magnetic resonance image (D) in the four-chamber view show late gadolinium enhancement in the RV apical wall (triangles) and basal septum (arrows). Ao: aorta, LV: left ventricle, PA: pulmonary artery, RV: right ventricle.

• 

  Figure 4 A [18F]fluorodeoxyglucose positron emission tomographic scan demonstrates focal enhancement of the intraventricular septum in the axial view (A and C: arrows) and in the coronal plane (B and D: arrows). LV: left ventricle, RV: right ventricle.