Movahed Mohammad-Reza, Vu John, Lizotte Paul
Division of Cardiology, Department of Medicine, University of California, Irvine Medical Center, Orange, CA 92868-4080, USA.
Cardiovasc Revasc Med. 2006 Oct-Dec;7(4):250-4. doi: 10.1016/j.carrev.2006.03.101.
We present a patient with a history of coronary artery disease and exertional angina after an acute anterior myocardial infarction. Angiography and ventriculography revealed multivessel coronary artery disease and a large apical aneurysm. Echocardiography and gated SPECT studies were performed for further evaluation of ischemia and assessment of left ventricular function. Gated SPECT and echocardiography failed to detect a large apical aneurysm due to a hyperdynamic left ventricular wall at the neck of the aneurysm. This case demonstrates the importance of using multiple imaging modalities in the evaluation of ventricular function in the setting of coronary artery disease.
我们报告一名患有冠状动脉疾病且在急性前壁心肌梗死后出现劳力性心绞痛的患者。血管造影和心室造影显示多支冠状动脉疾病及一个大的心尖部室壁瘤。进行了超声心动图和门控单光子发射计算机断层显像(SPECT)检查，以进一步评估缺血情况及左心室功能。由于室壁瘤颈部左心室壁运动增强，门控SPECT和超声心动图未能检测到一个大的心尖部室壁瘤。该病例表明，在评估冠状动脉疾病患者的心室功能时，使用多种成像方式的重要性。
