Takahashi Koji, Sasaki Daisuke, Sakaue Tomoki, Enomoto Daijiro, Uemura Shigeki, Okura Takafumi, Ikeda Shuntaro, Yamamoto Daichi, Kono Taizo, Yamamura Nobuhisa
Department of Community Emergency Medicine, Ehime University Graduate School of Medicine, Ehime, Japan.
Department of Cardiology, Yawatahama City General Hospital, Ehime, Japan.
JACC Case Rep. 2021 May 12;3(7):1069-1074. doi: 10.1016/j.jaccas.2021.02.015. eCollection 2021 Jul 7.
This report presents a rare case of acute decompensated heart failure with technetium-99m-pyrophosphate accumulation in extracardiac sites, such as chest and abdominal walls, in addition to intense myocardial uptake of the tracer. Subsequently, an abdominal fat pad fine-needle aspiration biopsy, which provided positive findings for transthyretin amyloidosis, was performed. ().
本报告介绍了一例罕见的急性失代偿性心力衰竭病例,除心肌对示踪剂有强烈摄取外,心外部位如胸壁和腹壁也有锝-99m焦磷酸盐蓄积。随后进行了腹部脂肪垫细针穿刺活检,结果显示转甲状腺素蛋白淀粉样变性呈阳性。()