A case of congential left venticular diverticulum with pulmonary stenosis and its scintigraphic characteristics.
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- MATSUDA K.
- Second Department of Internal Medicine, Sapporo Medical College
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- NAKATA TOMOAKI
- Second Department of Internal Medicine, Sapporo Medical College
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- KUNIMOTO SEIJI
- Second Department of Internal Medicine, Sapporo Medical College
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- YONEKURA SHUJI
- Second Department of Internal Medicine, Sapporo Medical College
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- TSUCHIHASHI KAZUFUMI
- Second Department of Internal Medicine, Sapporo Medical College
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- SHIMAMOTO KAZUAKI
- Second Department of Internal Medicine, Sapporo Medical College
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- IIMURA OSAMU
- Second Department of Internal Medicine, Sapporo Medical College
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Abstract
We encountered a 31-year-old female patient with mild valvular pulmonary stenosis who had no abnormality in the electrocardiogram but pulmonary dilatation in the chest radiograph. Two-dimensional echocardiography and magnetic resonance imaging demonstrated two small protrusions at the interventricular septum indicating diverticula. Large perfusion defects were observed at the anterior wall in the thallium-201 myocardial tomograms. Short axial and vertical long axial images by ECG-gated blood pool tomography revealed an out-pouching best seen during diastole and a good contraction during systole in the corresponding areas. These findings suggested the presence of thin but normal myocardium in the anterior wall, i.e.a muscular type of left ventricular diverticulum. The presence of the muscular type of left ventricular diverticulum at the anterior and septal walls was confirmed by contrast left ventriculography. A congenital diverticulum at the anterior and septal walls with pulmonary stenosis is very rare. Furthermore, its scintigraphic images were quite characteristic and useful for its diagnosis.
Journal
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- Jpn Circ J
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Jpn Circ J 55 297-302, 1991
Japanese Circulation Society
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Keywords
Details 詳細情報について
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- CRID
- 1572543026983498496
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- NII Article ID
- 110002595634
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- NII Book ID
- AA00690731
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- ISSN
- 00471828
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- Text Lang
- en
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- Data Source
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- CiNii Articles