Journal
CLINICAL IMAGING
Volume 32, Issue 6, Pages 474-476Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.clinimag.2008.04.011
Keywords
Cardiomyopathy; Delayed enhancement; Glycogenosis; Magnetic resonance imaging
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We describe magnetic resonance (MR) aspect of cardiac glycogenesis in a 49-years old man, presented a progressively declining cardiac function and negative coronary angiography. Delayed enhancement MR confirmed non-ischemic pattern with unusual diffuse distribution of Gadolinium. Cardiac biopsy revealed a Glycogen Storage Disease, extra-lysosomial type. Cardiac MR with analysis of delayed enhancement distribution is an emerging tool that can discriminate between ischemic and non-ischemic diseases; however to identify the precise actiology of a non-ischemic distribution, myocardial biopsy is still needed. (C) 2008 Elsevier Inc. All rights reserved.
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