• Title/Summary/Keyword: Subendocardial MI

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Correlation between Reverse Redistribution and Subendocardial Myocardial Infarction Observed in Myocardial Contrast Echocardiography (역재분포 소견과 심근조영 심초음파에서 보인 심내막하경색과의 관계)

  • Kim, Sung-Eun;Choe, Won-Sick;Kwan, Jun
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.3
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    • pp.228-233
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    • 2000
  • Purpose: The aim of this study is to better understand the pattern and nature of reverse redistribution (RR) in myocardial perfusion imaging. Materials and Methods: In consecutive 20 acute myocardial infarction (MI) patients, frequency of RR was correlated with that of subendocardial MI that was detected by myocardial contrast echocardiography (MCE). RR was judged to be present when there was more than one grade of worsening in perfusion at 24 hr delayed images compared with the initial rest images. MCE evaluated the significant lack of opacification in the subendocardial myocardium relative to the subepicardial myocardium to suggest the subendocardial MI. Kendall's nonparametric correlation coefficiency was calculated. Results: Concordant cases were 15 of 20 (75%) and correlation was statistically significant (p=0.0285). Conclusion: Our results suggested that RR was correlated with MCE-detected nontransmural MI.

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Modified Surgical Intervention for Extensive Mitral Valve Endocarditis and Posterior Mitral Annular Calcification

  • Kim, Gwan Sic;Beom, Min Sun;Kim, Sung Ryong;Kim, Na Rae;Jang, Ji Wook;Jang, Mi Hee;Ryu, Sang Wan
    • Journal of Chest Surgery
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    • v.49 no.1
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    • pp.46-49
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    • 2016
  • The concomitant presence of posterior mitral annular calcification and infectious mitral valve lesions poses a technical challenge with considerable perioperative risk when using previously proposed techniques for mitral valve surgery. Herein, we report a case of the use of a modified surgical technique to successfully treat a patient with mitral infective endocarditis complicated by a subendocardial abscess and extensive posterior mitral annular calcification.