Native T1 Mapping Demonstrating Apical Thrombi in Eosinophilic Myocarditis Associated with Churg-Strauss Syndrome

Overview

Journal Korean Circ J

Date 2016 Nov 10

PMID 27826352

Citations 2

Authors

Kyongmin Sarah Beck

Soh Yong Jeong

Kyo Young Lee

Kiyuk Chang

Jung Im Jung

Affiliations

Soon will be listed here.

Abstract

Eosinophilic myocarditis is a disease characterized by eosinophilic infiltration of the myocardium, consisting of acute necrotic stage, thrombotic stage, and fibrotic stage. Although T1 mapping has been increasingly used in various cardiac pathologies, there has been no report of T1 mapping in eosinophilic myocarditis. We report a case of 75-year-old female with eosinophilic myocarditis, whose cardiac magnetic resonance imaging included native T1 mapping, in which apical thrombi were distinctly seen as areas with decreased T1 values, next to areas of inflammation seen as increased T1 value in subendocardium.

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References

Thambidorai S, Korlakunta H, Arouni A, Hunter W, Holmberg M . Acute eosinophilic myocarditis mimicking myocardial infarction. Tex Heart Inst J. 2009; 36(4):355-7. PMC: 2720293. View

Ugander M, Oki A, Hsu L, Kellman P, Greiser A, Aletras A . Extracellular volume imaging by magnetic resonance imaging provides insights into overt and sub-clinical myocardial pathology. Eur Heart J. 2012; 33(10):1268-78. PMC: 3350985. DOI: 10.1093/eurheartj/ehr481. View

Salanitri G . Endomyocardial fibrosis and intracardiac thrombus occurring in idiopathic hypereosinophilic syndrome. AJR Am J Roentgenol. 2005; 184(5):1432-3. DOI: 10.2214/ajr.184.5.01841432. View

Chang S, Kim H, Park E, Kim Y, Sohn D . Images in cardiovascular medicine. Loeffler endocarditis mimicking apical hypertrophic cardiomyopathy. Circulation. 2009; 120(1):82-5. DOI: 10.1161/CIRCULATIONAHA.108.833566. View

Tani H, Amano Y, Tachi M, Machida T, Mizuno K, Kumita S . T2-weighted and delayed enhancement MRI of eosinophilic myocarditis: relationship with clinical phases and global cardiac function. Jpn J Radiol. 2012; 30(10):824-31. DOI: 10.1007/s11604-012-0130-3. View

Karamitsos T, Piechnik S, Banypersad S, Fontana M, Ntusi N, Ferreira V . Noncontrast T1 mapping for the diagnosis of cardiac amyloidosis. JACC Cardiovasc Imaging. 2013; 6(4):488-97. DOI: 10.1016/j.jcmg.2012.11.013. View

Debl K, Djavidani B, Buchner S, Poschenrieder F, Heinicke N, Feuerbach S . Time course of eosinophilic myocarditis visualized by CMR. J Cardiovasc Magn Reson. 2008; 10:21. PMC: 2413232. DOI: 10.1186/1532-429X-10-21. View

MASI A, Hunder G, Lie J, Michel B, Bloch D, Arend W . The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum. 1990; 33(8):1094-100. DOI: 10.1002/art.1780330806. View

Gupta A, Singh Gulati G, Seth S, Sharma S . Cardiac MRI in restrictive cardiomyopathy. Clin Radiol. 2011; 67(2):95-105. DOI: 10.1016/j.crad.2011.05.020. View

10.

Yoon Y, Hong Y, Kim H, Kim J, Na J, Yang D . 2014 korean guidelines for appropriate utilization of cardiovascular magnetic resonance imaging: a joint report of the korean society of cardiology and the korean society of radiology. Korean Circ J. 2014; 44(6):359-85. PMC: 4248609. DOI: 10.4070/kcj.2014.44.6.359. View

11.

Olsen E . Restrictive cardiomyopathy. Postgrad Med J. 1986; 62(728):607-8. PMC: 2418760. DOI: 10.1136/pgmj.62.728.607. View

12.

Hamlin S, Henry T, Little B, Lerakis S, Stillman A . Mapping the future of cardiac MR imaging: case-based review of T1 and T2 mapping techniques. Radiographics. 2014; 34(6):1594-611. DOI: 10.1148/rg.346140030. View