Serial FDG-PET/CT Imaging in the Management of Cardiac Sarcoidosis

William Bremer, Nadera J. Sweiss, Yang Lu

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

A 60-year-old woman with biopsy-proven cardiac sarcoidosis status post implantable cardioverter defibrillator placement presented with periodic dizziness and dyspnea on exertion. Myocardial perfusion scan demonstrated a moderate sized, fixed perfusion defect along the mid to proximal anteroseptal wall of the left ventricle, with better perfusion on stress images. FDG-PET/CT demonstrated corresponding focal FDG avidity of the mid to proximal anteroseptal wall, suggestive of active cardiac sarcoidosis. Because of severe side effects, mycophenolate mofetil was discontinued, and the patient received low-dose steroid therapy. At 7-month follow-up FDG PET/CT, there was increased FDG avidity in the same regions, indicating worsening cardiac sarcoidosis.

Original languageEnglish (US)
Pages (from-to)e50-e52
JournalClinical nuclear medicine
Volume43
Issue number2
DOIs
StatePublished - Feb 1 2018

Keywords

  • FDG PET/CT
  • cardiac sarcoidosis
  • immunosuppression
  • myocardial perfusion study

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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