Cardiac amyloidosis imaged by dual-source computed tomography

Marwan, Mohamed; Pflederer, Tobias; Ropers, Dieter; Schmid, Michael; Wasmeier, Gerald; Söder, Stephan; Daniel, Werner G.; Achenbach, Stephan

doi:10.1016/j.jcct.2008.08.006

« Previous Next »Journal of Cardiovascular Computed Tomography
Volume 2, Issue 6 , Pages 403-405, November 2008

Cardiac amyloidosis imaged by dual-source computed tomography

Mohamed Marwan, MD
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
- Corresponding author
Tobias Pflederer, MD
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Dieter Ropers, MD, FESC
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Michael Schmid, MD
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Gerald Wasmeier, MD
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Stephan Söder, MD
- Department of Pathology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Werner G. Daniel, MD, FESC, FACC
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany
Stephan Achenbach, MD, FESC, FACC
- Department of Cardiology, University of Erlangen, Ulmenweg 18 91054 Erlangen, Germany

Received 24 June 2008; accepted 9 August 2008. published online 19 August 2008.

Abstract

The ability of contrast-enhanced CT to detect “late enhancement” in a fashion similar to magnetic resonance imaging has been reported previously. Typical myocardial distribution patterns of “late enhancement” have been described for MRI. The same patterns can be observed in CT imaging, albeit at a lower signal to noise ratio. We report a case of cardiac amyloidosis with a typical pattern of subendocardial, circumferential late enhancement in all four cardiac chambers.

Keywords: Cardiac amyloidosis, Computed tomography, Late enhancement