OBJECTIVE. Fabry's disease may be difficult to differentiate from symmetric hypertrophic cardiomyopathy. Our aim was to compare the myocardial location and distribution patterns of delayed enhancement between patients with Fabry's disease who are affected by symmetric myocardial hypertrophy and patients with symmetric hypertrophic cardiomyopathy in order to identify a specific sign to best differentiate the two diseases. CONCLUSION. Patients with Fabry's disease-related hypertrophy showed left ventricular (LV) delayed enhancement with a typical and consistently found pattern characterized by the involvement of the inferolateral basal or mid basal segments and a mesocardial distribution that spared the subendocardium. This pattern seems to be specific to Fabry's disease; in fact, patients with symmetric hypertrophic cardiomyopathy had variable locations and distributions of delayed enhancement. These observations may contribute to identifying Fabry's disease as a specific cause of symmetric hypertrophy. © American Roentgen Ray Society
De Cobelli, F., Esposito, A., Belloni, E., Pieroni, M., Perseghin, G., Chimenti, C., et al. (2009). Delayed-enhanced cardiac MRI for differentiation of fabry's disease from symmetric hypertrophic cardiomyopathy. AMERICAN JOURNAL OF ROENTGENOLOGY, 192(3), W97-W102 [10.2214/AJR.08.1201].
Delayed-enhanced cardiac MRI for differentiation of fabry's disease from symmetric hypertrophic cardiomyopathy
PERSEGHIN, GIANLUCA;
2009
Abstract
OBJECTIVE. Fabry's disease may be difficult to differentiate from symmetric hypertrophic cardiomyopathy. Our aim was to compare the myocardial location and distribution patterns of delayed enhancement between patients with Fabry's disease who are affected by symmetric myocardial hypertrophy and patients with symmetric hypertrophic cardiomyopathy in order to identify a specific sign to best differentiate the two diseases. CONCLUSION. Patients with Fabry's disease-related hypertrophy showed left ventricular (LV) delayed enhancement with a typical and consistently found pattern characterized by the involvement of the inferolateral basal or mid basal segments and a mesocardial distribution that spared the subendocardium. This pattern seems to be specific to Fabry's disease; in fact, patients with symmetric hypertrophic cardiomyopathy had variable locations and distributions of delayed enhancement. These observations may contribute to identifying Fabry's disease as a specific cause of symmetric hypertrophy. © American Roentgen Ray SocietyFile | Dimensione | Formato | |
---|---|---|---|
AJR-09.pdf
Solo gestori archivio
Dimensione
622.02 kB
Formato
Adobe PDF
|
622.02 kB | Adobe PDF | Visualizza/Apri Richiedi una copia |
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.