| Japanese |
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| Title | 先天性心疾患術後の感染性心内膜炎に対する67Gaイメージング |
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| Subtitle | 原著 |
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| Authors | 木幡達*, 小野安生*, 神谷哲郎*, 西村恒彦**, 高宮誠**, 八木原俊克*** |
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| Authors(kana) | |
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| Organization | *国立循環器病センター小児科, **放射線診療部, ***心臓血管外科 |
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| Journal | 核医学 |
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| Volume | 28 |
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| Number | 11 |
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| Page | 1283-1288 |
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| Year/Month | 1991/11 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」先天性心疾患の術後に感染性心内膜炎を疑われた16例に対し67Gaイメージングを行い, 7例において異常集積を認めた. これらのうち, 3例は末梢肺動脈への感染性塞栓であり, 4例は肺動脈再建に用いた人工血管への感染であった. 心エコー図によりvegetationが検出されない例や血液培養による病原体の同定が困難な例においても, 67Gaイメージングにより感染巣を検出することができ, その経過を観察する上でも有用であった. 67Gaイメージングは, 先天性心疾患術後の感染性心内膜炎に合併してみられる肺動脈末梢部感染性塞栓や人工血管の感染性動脈内膜炎のイメージ診断法として利用価値は大きいと考えられた. 「I. はじめに」感染性心内膜炎(Infective endocarditis)は, しばしば重篤な経過をとり, 致命率や病後の合併症の発生も低くはなく, その早期の的確な診断を必要とする. |
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| Practice | 臨床医学：一般 |
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| Keywords | 67Ga imaging, Infective endocarditis, Congenital heart disease. |
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| English |
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| Title | 67Ga Imaging in the Patients with Infective Endocarditis after Surgery for Congenital Heart Disease |
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| Subtitle | |
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| Authors | Tohru KOHATA*, Yasuo ONO*, Tetsuro KAMIYA*, Tsunehiko NISHIMURA**, Makoto TAKAMIYA**, Toshikatsu YAGIHARA*** |
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| Authors(kana) | |
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| Organization | *Department of Pediatrics, **Department of Radiology, ***Department of Cardiovascular Surgery, National Cardiovascular Center |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 28 |
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| Number | 11 |
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| Page | 1283-1288 |
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| Year/Month | 1991/11 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]67Ga imaging was performed in sixteen patients (age: 8 m.-18 y.) who had persistent fever and positive acute phase reactants after surgery for congenital heart disease. Abnormal uptake of 67Ga over the heart and the lungs was evaluated with a computer. Abnormal uptake of 67Ga was observed in seven patients, three of them showed it in the area of peripheral pulmonary artery and another four showed it in the area of artificial vessels for pulmonary artery reconstruction. In six patients with positive blood cultures, five showed abnormal uptake of 67Ga and in ten patients with negative blood cultures, two showed it. Vegetation was detected with 2D-echocardiography in four patients and all of them showed abnormal uptake of 67Ga, while in 12 patients without vegetation three showed it. In conclusion, 67Ga imaging was useful to detect the foci of infective endoarteritis or pulmonary embolism caused by the vegetation in infective endocarditis in the patients after surgery for congenital heart disease, especially in the peripheral pulmonary arteries and artificial vessels which could not be detected with 2D-echo. |
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| Practice | Clinical medicine |
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| Keywords | 67Ga imaging, Infective endocarditis, Congenital heart disease. |
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