心脏结节病患者心尖部动脉瘤处持续性氟代脱氧葡萄糖摄取

Rojulpote Chaitanya, Patil Shivaraj, Vidula Mahesh K, Kotloff Robert, Prenner Stuart, Bravo Paco E

Division of Cardiovascular Imaging, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Department of Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA.

JACC Case Rep. 2023 Mar 15;10:101763. doi: 10.1016/j.jaccas.2023.101763.

We present a case of cardiac sarcoidosis with persistent, focal fluorodeoxyglucose uptake at the left ventricular apical aneurysm concerning for ongoing active inflammatory injury, prompting aggressive immunosuppressive therapy. This case highlights the importance of understanding the various clinical entities that may resemble disease activity on fluorodeoxyglucose positron emission tomography/computed tomography imaging. ().

我们报告一例心脏结节病患者，其左心室心尖部动脉瘤处存在持续性、局灶性氟脱氧葡萄糖摄取，提示存在持续的活动性炎性损伤，从而促使采取积极的免疫抑制治疗。该病例强调了在氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描成像中理解可能类似于疾病活动的各种临床实体的重要性。（）