| Usefulness of ultrasonography in carotid arteries and combined positron emission tomography/ computed tomography for diagnosis of Takayasu arteritis with unusual presentation as acute myocardial infarction: a case report. | |
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MedLine Citation:
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PMID: 18044461 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This unusual case of Takayasu arteritis presenting as acute myocardial infarction could be defined by ultrasonography and 18-fluorodeoxyglucose positron emission tomography (18F-FDG PET) coregistered with computed tomography (CT). A 55-year-old male was admitted to our hospital with continuous chest pain and left-side neck pain. After primary percutaneous coronary intervention, elevation of inflammatory markers persisted and dull pain in the left side of the neck continued. Ultrasonography revealed characteristic wall thickening of the left common carotid artery and subsequent 18F-FDG PET with CT depicted positive uptake in the left common carotid artery and the vessel wall of the ascending aorta, confirming the diagnosis of Takayasu arteritis. Three months after angioplasty, follow-up cardiac catheterization was performed. Coronary angiography showed no restenosis. During the catheterization, angiography confirmed the mild stenosis in the long segment of the left common carotid artery and the left subclavian artery as well as the focal narrowing and the dilation of the abdominal aorta. This case shows that ultrasonography in the cervical region and combined 18F-FDG PET with CT may be useful in the diagnosis and evaluation of Takayasu arteritis. In addition, we should pay attention to underlying disease even in middle-aged or older male patients with acute myocardial infarction. |
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Authors:
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Kotaro Miyagawa; Jun Shiraishi; Michitaka Nasu; Sayuki Torii; Masayasu Arihara; Masayuki Hyogo; Takakazu Yagi; Takatomo Shima; Takashi Okada; Yoshio Kohno; Hiroaki Matsubara |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiology Volume: 50 ISSN: 0914-5087 ISO Abbreviation: J Cardiol Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-11-29 Completed Date: 2008-01-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804703 Medline TA: J Cardiol Country: Japan |
Other Details:
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Languages: eng Pagination: 317-24 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Kyoto First Red Cross Hospital, Kyoto. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Carotid Arteries
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ultrasonography* Coronary Angiography Fluorodeoxyglucose F18 / diagnostic use Humans Male Middle Aged Myocardial Infarction / complications, diagnosis* Positron-Emission Tomography* Takayasu Arteritis / diagnosis* Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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63503-12-8/Fluorodeoxyglucose F18 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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