Korean Circ J.  2022 Feb;52(2):169-171. 10.4070/kcj.2021.0305.

Left Ventricular Apical Aneurysm: Atypical Feature of Cardiac Sarcoidosis Diagnosed by Multimodality Imaging

Affiliations
  • 1Division of Cardiology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea

Abstract

no abstract available.


Figure

  • Figure 1 Apical 4-chamber (A) and 2-chamber view (B) revealing akinesia and a focal aneurysm at the left ventricular apex (yellow arrows).

  • Figure 2 Coronary angiography (A) and coronary computed tomography (B) revealing dual LAD type 4; the long LAD of anomalous origin from the right coronary sinus with mild compression by right ventricular outflow tract (yellow arrows) and the short LAD from the left main coronary artery (blue arrow).LAD = left anterior descending artery.

  • Figure 3 Horizontal (A) and vertical long axis view (B) of cardiac magnetic resonance imaging revealing wall thinning with aneurysmal change and transmural LGE of the LV apex (yellow arrows), subendocardial LGE of the anterior and lateral walls (blue arrows), and intramural patchy LGE of the LV base (orange arrow).LGE = late-gadolinium enhancement, LV = left ventricle.

  • Figure 4 Transverse view (A) and sagittal view (B) of F-18fluorodeoxyglucose positron emission tomography scan revealing hot uptake at the apex and the lateral and anterior walls of the left ventricle.


Reference

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