Key result
18F-FDG PET following a high-fat, low-carbohydrate preparation successfully identified a left ventricular myocardial metastasis from renal cell carcinoma in a 68-year-old man.
Why the study?
Does 18F-FDG PET with a high-fat, low-carbohydrate preparation detect myocardial-embedded metastasis in a patient with ventricular tachycardia?
Case Report (n=1)
Does 18F-FDG PET with a high-fat, low-carbohydrate preparation detect myocardial-embedded metastasis in a patient with ventricular tachycardia?
18F-FDG PET with a high-fat, low-carbohydrate preparation can successfully identify myocardial-embedded metastases presenting as ventricular tachycardia.
May support 18F-FDG PET with dietary prep for suspected cardiac metastases; leaves open prospective validation in ventricular tachycardia.
The detection of left ventricle metastases is highly relevant because of the risk of severe adverse outcomes such as ventricular arrhythmia. We report herein the case of a 68-year-old man who presented with a ventricular tachycardia due to a myocardial metastasis from a renal cell carcinoma. The metastasis was embedded within the left ventricular lateral wall. It was identified on the basis of persistent F-FDG focal uptake following the ingestion of a high-fat, low-carbohydrate preparation.
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Djaileb et al. (2017) conducted a case report in Myocardial metastasis from renal cell carcinoma (n=1). 18F-FDG PET with high-fat, low-carbohydrate preparation was evaluated on Detection of myocardial-embedded metastasis. 18F-FDG PET following a high-fat, low-carbohydrate preparation successfully identified a left ventricular myocardial metastasis from renal cell carcinoma in a 68-year-old man.
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