Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Cardiothoracic Centre CCM, Monaco, MC.
Echocardiography. 2022 Jun;39(6):855-858. doi: 10.1111/echo.15357. Epub 2022 May 3.
Massive myocardial calcification is a very rare finding.
Accurate identification and characteriation may help the clinicians to determine the etiology and clinical significance.
In this case, the diagnostic pathway excluded previous myocardial infarction, myocarditis, and calcium-phosphate disorders. A possible dystrophic etiology was considered.
There are no standardized imaging features available to classify specific subtypes of intra-myocardial calcifications. The relative merits of computed tomography and cardiac magnetic resonance (CMR) in providing complimentary diagnostic information in the evaluation of calcific myocardial lesions are shown.
Knowledge of the potential etiology and their imging patterns are important to provide a concise and accurate differential diagnosis.
心肌钙化是一种非常罕见的发现。
准确识别和特征分析有助于临床医生确定病因和临床意义。
在本例中,诊断路径排除了先前的心肌梗死、心肌炎和钙磷代谢紊乱。考虑可能为营养不良性病因。
目前尚无可用的影像学特征来对心肌内钙化的特定亚型进行分类。本研究比较了计算机断层扫描(CT)和心脏磁共振(CMR)在评估钙化性心肌病变时提供补充诊断信息的相对优势。
了解潜在病因及其影像学模式对于提供简明准确的鉴别诊断非常重要。