Nagai Tomoo, Horinouchi Hitomi, Kitayama Azusa, Ikari Yuji
Division of Cardiovascular Medicine, Department of Internal Medicine, School of Medicine, Tokai University, Isehara-shi, Kanagawa, Japan.
Department of Medical Technology, School of Medicine, Tokai University, Isehara-shi, Kanagawa, Japan.
Echocardiography. 2019 Apr;36(4):791-793. doi: 10.1111/echo.14288. Epub 2019 Mar 4.
A 65-year-old asymptomatic woman, who had been pathologically diagnosed with pulmonary sarcoidosis, was admitted for further evaluation of possible cardiac involvement. Her echocardiography demonstrated the development of apical hypertrabeculation that was not observed 5 years previously. Cardiac magnetic resonance imaging revealed late gadolinium enhancement in the same region. Gallium single photon-missioned computed tomography/computed tomography revealed high uptake. Therefore, the diagnosis of active cardiac sarcoidosis was established, and subsequent treatment with corticosteroid was initiated. No study regarding acquired left ventricular hypertrabeculation associated with cardiac sarcoidosis has been reported. The integrated multi-imaging modality approach helped in earlier recognition of cardiac sarcoidosis.
一名65岁无症状女性，病理诊断为肺结节病，因进一步评估可能的心脏受累情况入院。她的超声心动图显示心尖部出现了5年前未观察到的小梁增多。心脏磁共振成像显示同一区域有延迟钆增强。镓单光子发射计算机断层扫描/计算机断层扫描显示摄取增高。因此，确诊为活动性心脏结节病，并随后开始使用皮质类固醇进行治疗。尚未有关于与心脏结节病相关的后天性左心室小梁增多的研究报道。综合多种成像方式有助于更早地识别心脏结节病。
