Document Detail

Catheter-based management for the congenital coronary arteriovenous fistula indicated by the stress 99mTc-MIBI SPECT.
MedLine Citation:
PMID:  17442419     Owner:  NLM     Status:  MEDLINE    
A 10-year-old boy, who had suffered Kawasaki disease 7 years ago, presented chest pain, pale face, and cold sweating in the stress (99m)technetium-methoxyisobutylisonitrile ((99m)Tc-MIBI) single-photon emission computed tomography (SPECT), which showed reversible perfusion abnormality indicative of myocardial ischemia involving the right coronary artery. Angiography identified congenital coronary arteriovenous fistula (CAVF) from the right coronary artery to the main pulmonary artery, to which the patient's symptoms and signs of myocardial ischemia, by means of coronary steal phenomenon that entails reversible perfusion abnormality in the stress (99m)Tc-MIBI SPECT, could be ascribed. The penny shall finally be dropped without sudden cardiac event after coaxial transarterial coil occlusion on this boy with the congenital CAVF that is indicated significantly by the stress (99m)Tc-MIBI SPECT.
Meng-Luen Lee; Jui-Wen Peng; Guang-Uei Hung
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Publication Detail:
Type:  Case Reports; Letter     Date:  2007-04-17
Journal Detail:
Title:  International journal of cardiology     Volume:  126     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-21     Completed Date:  2008-09-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e13-6     Citation Subset:  IM    
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MeSH Terms
Arteriovenous Fistula / diagnosis,  radionuclide imaging*,  therapy
Coronary Vessel Anomalies / diagnosis,  radionuclide imaging*,  therapy
Diagnosis, Differential
Heart Catheterization* / methods
Mucocutaneous Lymph Node Syndrome / radionuclide imaging,  therapy
Myocardial Ischemia / diagnosis,  radionuclide imaging,  therapy*
Subclavian Steal Syndrome / diagnosis,  radionuclide imaging,  therapy
Technetium Tc 99m Sestamibi / diagnostic use*
Tomography, Emission-Computed, Single-Photon* / methods
Reg. No./Substance:
109581-73-9/Technetium Tc 99m Sestamibi

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