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Thallium-201 myocardial SPECT in a patient with mirror-image dextrocardia and left bundle branch block
- Publication Year :
- 2003
-
Abstract
- WOS: 000185583500014<br />PubMed ID: 14575388<br />A 53-year-old male patient with a previous diagnosis of situs inversus with mirror-image dextrocardia underwent thallium-201 (Tl-201) stress-redistribution myocardial perfusion single photon emission computed tomography (SPECT). Electrocardiogram (ECG) obtained on right hemithorax revealed constant complete left bundle branch block. Tl-201 stress-redistribution SPECT images revealed abnormal perfusion with reversible ischemia in the anteroseptal, septal and inferoseptal walls. Coronary angiography performed 1 month after SPECT study was normal. This case illustrates that false positive reversible perfusion defects can be seen in patients with mirror-image dextrocardia associated with constant complete left bundle branch block. To our knowledge, this is the first reported case of mirror-image dextrocardia and constant complete left bundle branch block with false positive Tl-201 SPECT findings.
- Subjects :
- Male
medicine.medical_specialty
Bundle-Branch Block
Ischemia
chemistry.chemical_element
Coronary Artery Disease
Dextrocardia
Single-photon emission computed tomography
Diagnosis, Differential
Electrocardiography
Internal medicine
medicine
Humans
left bundle branch block
Radiology, Nuclear Medicine and imaging
False Positive Reactions
mirror image dextrocardia
Thallium
Tomography, Emission-Computed, Single-Photon
medicine.diagnostic_test
business.industry
Left bundle branch block
myocardial SPECT
General Medicine
Middle Aged
medicine.disease
Situs inversus
chemistry
Male patient
thallium-201
Cardiology
Radiopharmaceuticals
business
Perfusion
Subjects
Details
- Language :
- English
- ISSN :
- 14575388
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....92a457854d7133db0f5dfbe1e330e209