A prominent filling defect was depicted on a radionuclide ventriculogram in a patient with mitral regurgitation. This defect was later shown, by cardiac ultrasound, to be due to mitral valve prolapse into the left ventricle during diastole. This case illustrates that mitral valve prolapse should be added to the list of clinical entities that can result in an intraventricular defect on a radionu clide ventriculogram.
Get full access to this article
View all access options for this article.
References
1.
Parisi AF, Tow DE, Sasahara AA: Clinical appraisal of current nuclear and other noninvasive cardiac diagnostic techniques. Am J Cardiol28:722-730, 1976.
2.
Rigo P., Alderson PO, Robertson RM, et al: Measurement of aortic and mitral regurgitation by gated cardiac blood pool scans. Circulation60:306-312, 1979.
3.
Lam W., Pavel D., Byrom E., et al: Radionuclide regurgitant index: value and limitations. Am J Cardiol47:292-298, 1981.
4.
Iskandrian AS , Hakki A-H., Kotler MN: Value of echocardiography and nuclear techniques in assessment of valvular heart lesions. Cardiovasc Clin17:181-200, 1986.
5.
Gandsman EJ, North DL, Shulman RS, et al: Measurement of the ventricular stroke volume ratio by gated radionuclide angiography. Radiology138:161-165, 1981.
6.
Sorensen SG, O'Rourke RA, Chaudhuri TK: Noninvasive quantitation of valvular regurgitation by gated equilibrium radionuclide angiography. Circulation62:1089-1098, 1980 .
7.
Bough EW, Gandsman AJ, North DL, et al: Gated radionuclide angiographic evaluation of valve regurgitation . Am J Cardiol46:423-428, 1980.
8.
Urquhart J., Patterson RE, Packer M., et al: Quantification of valve regurgitation by radionuclide angiography before and after valve replacement surgery. Am J Cardiol47:287-291, 1981.
9.
Nicod P., Corbett JR, Firth BG, et al: Radionuclide techniques for valvular regurgitant index: Comparison in patients with normal and depressed ventricular function. J Nucl Med23:763-769, 1982.
Newman GE, Gibbons RJ, Jones RH: Cardiac function during rest and exercise in patients with mitral valve prolapse. Role of radionuclear angiocardiography. Am J Cardiol47:14-19, 1981.
15.
Gottdiener JS, Borer JS, Bacharach SL, et al: Left ventricular function in mitral valve prolapse: Assessment with radionuclide cineangiography . Am J Cardiol47:7-13, 1981.
16.
Ahmad M., Haibach H.: Left ventricular function in patients with mitral valve prolapse. A radionuclide evaluation. Clin Nucl Med7:562-567, 1982.
17.
Bunko H., Nakajima K., Tonami N., et al: Visualization of hypertrophied papillary muscle mimicking left ventricular mass on gated blood pool and T1-201 myocardial perfusion imaging . Clin Nucl Med6:571-574, 1981.
18.
Gewirtz H., Wilner A., Garriepy S., et al: Diagnosis of left ventricular mural thrombus by means of radionuclide ventriculography. J Nucl Med22:610-612, 1981.
19.
Stratton JR , Ritchie JL, Hammermeister KE, et al: Detection of left ventricular thrombi with radionuclide angiography. Am J Cardiol48:565-572, 1981.
20.
Pohost GM, Pastore JO, McKusick KA, et al: Detection of left atrial myxoma by gated radionuclide cardiac imaging. Circulation55:88-92, 1977.
21.
Starshak RJ , Sty JR: Radionuclide angiocardiography: Use in the detection of myocardial rhabdomyoma. Clin Nucl Med3:106-107, 1978.
22.
Steiner RM, Bull MI, Kumpel F., et al: The diagnosis of intracardiac metastasis of colon carcinoma by radioisotopic and roentgenographic studies. Am J Cardiol26:300-304, 1970.