Triglyceride Deposit Cardiomyovasculopathy with Massive Myocardial Triglyceride which Was Proven Using Proton-magnetic Resonance Spectroscopy

Figures

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  Figure 1.. Coronary angiography. (A) Right anterior oblique (30°) view. (B) Cranial (45°) view. (C) Right anterior oblique (30°) and caudal (30°) views.

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  Figure 2.. Washout rate of iodine-123-β-methyl iodophenyl-pentadecanoic acid. (A) Quantitative polar map displays with early phase. (B) Quantitative polar map displays with delay phase. (C) Washout rate, WOR=3.5%

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  Figure 3.. Results of proton magnetic resonance spectra of this case. A volume of interest (1×1×2 cm3) was selected within the ventricular septum from the systolic phase of cine-mode images. The spectrum of water and lipid was acquired by point-resolved spectroscopy method and the myocardial triglyceride level was expressed as the ratio of the area under the curves for lipid peaks to that for water peak (%). (A) Water signals were acquired at 4.7 ppm from spectra without water suppression. (B) Lipids signals were acquired at 1.4 ppm from spectra with water suppression.