| Japanese |
|---|
| Title | 乳児期早期に心筋梗塞と高度左室機能障害を合併した左冠動脈肺動脈起始症 - 201TlClおよび123I - BMIPP SPECTを用いた評価 - |
|---|
| Subtitle | 症例報告 |
|---|
| Authors | 宮本朋幸*, 堀米仁志*, 佐藤秀郎*, 山田牧*, 稲井慶*, 星野寿男***, 武田徹**, 石川演美**, 板井悠二** |
|---|
| Authors(kana) | |
|---|
| Organization | *筑波大学小児科, **放射線科, ***日立製作所日立総合病院小児科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 33 |
|---|
| Number | 2 |
|---|
| Page | 169-174 |
|---|
| Year/Month | 1996/2 |
|---|
| Article | 報告 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」広範囲心筋梗塞を合併したBland-White-Garland症候群(以下BWG症候群)の4か月の男児例を報告する. 主訴は多呼吸, 咳嗽と体重増加不良で, 急性心筋梗塞を示唆する症状は認められなかった. 心電図でI, aVL, V6に異常Q波が, 心臓カテーテルでは左室拡張末期容積384ml/m2と著明な拡張と, 駆出率の低下(16%)が認められた. 大動脈造影と肺動脈造影で左冠動脈肺動脈起始が確認された. 201TlClによる心筋SPECTでは, 心尖部の梗塞と, 前側壁, 後下壁の低灌流が認められ, これらの部位は左室造影のdyskinesisの部位と一致した. 123I-β-メチル-ヨードフェニルペンタデカン酸(123I-BMIPP)による集積欠損領域は, 201TlClのそれより広範で, 灌流が比較的保たれている部位でも脂肪酸代謝の低下している可能性が示唆された. 両核種を併用した心筋シンチグラムは本症の心筋viabilityの評価に有用であると考えられた. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | Bland-White-Garland syndrome, Infant, Myocardial SPECT, 123I-BMIPP, 201TlCl. |
|---|
| English |
|---|
| Title | Anomalous Origin of the Left Coronary Artery from the Pulmonary Trunk with Myocardial Infarction and Severe Left Ventricular Dysfunction in Infancy - Assessment of Myocardial Damage Using SPECT Studies with 201TlCl and 123I - BMIPP - |
|---|
| Subtitle | Case Report |
|---|
| Authors | Tomoyuki MIYAMOTO*, Hitoshi HORIGOME*, Hideo SATO*, Maki YAMADA*, Kei INAI*, Tohom TAKEDA**, Nobuyoshi ISHIKAWA**, Hisao HOSHINO***, Yuji ITAI** |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Pediatrics, University of Tsukuba, **Department of Radiology, University of Tsukuba, ***Department of Pediatrics, Hitachi General Hospital |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 33 |
|---|
| Number | 2 |
|---|
| Page | 169-174 |
|---|
| Year/Month | 1996/2 |
|---|
| Article | Report |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary]A 4-month-old male infant with Bland-White-Garland(BWG)syndrome complicated myocardial infarction was reported. Signs included tachypnea, coughing, and failure to thrive. However, there was no sign of myocardial infarction. A chest radiogragh revealed cardiomegaly(CTR=65%)and electrocardiogram showed abnormal Q waves in I, aVL, V6 leads. Cardiac catheterization and angiography revealed marked dilatation of left ventricle(end-diastolic volume=384 ml/m2)and extremely depressed ejection fraction(16%), confirming the diagnosis of BWG syndrome. A 201TlCl-myocardial SPECT demonstrated apical defect and hypoperfusion in the anterolateral, inferoposterior walls, whereas 123I-β-methyl-p-iodophenylpentadecanoic-acid(123I-BMIPP)SPECT showed a wider defect area. SPECT studies with 201TlCl and 123I-BMIPP, are useful to assess myocardial viability more accurately in BWG syndrome. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | Bland-White-Garland syndrome, Infant, Myocardial SPECT, 123I-BMIPP, 201TlCl. |
|---|