Fiocchi Federica, Ricci Caterina, Ligabue Guido, Reggianini Letizia, Modena Maria G, Cenacchi Giovanna, Torricelli Pietro
Dipartimento Integrato dei Servizi Diagnostici e per Immagine, Università degli Studi di Modena e Reggio Emilia-Azienda Policlinico, Modena, Italia.
Clin Imaging. 2008 Nov-Dec;32(6):474-6. doi: 10.1016/j.clinimag.2008.04.011.
We describe magnetic resonance (MR) aspect of cardiac glycogenesis in a 49-years old man, presented a progressively declining cardiac function and negative coronary angiography. Delayed enhancement MR confirmed non-ischemic pattern with unusual diffuse distribution of Gadolinium. Cardiac biopsy revealed a Glycogen Storage Disease, extralysosomial type. Cardiac MR with analysis of delayed enhancement distribution is an emerging tool that can discriminate between ischemic and non-ischemic diseases; however to identify the precise aetiology of a non-ischemic distribution, myocardial biopsy is still needed.
我们描述了一名49岁男性心脏糖原生成的磁共振（MR）表现，该患者出现心脏功能逐渐下降且冠状动脉造影阴性。延迟强化磁共振成像证实为非缺血模式，钆剂分布异常弥散。心脏活检显示为糖原贮积病，非溶酶体型。通过分析延迟强化分布的心脏磁共振成像是一种新兴工具，可区分缺血性和非缺血性疾病；然而，要确定非缺血性分布的确切病因，仍需要进行心肌活检。
