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Information Journal Paper

Title

99mTc-HMPAO-Labeled Autologous Leukocyte SPECT/CT for Diagnosis of Bacterial Endocarditis of the Prosthetic Pulmonary Conduit: A Clinical Case (NUCLEAR MEDICINE)

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Abstract

 In this paper, wepresent a case of Bacterial Endocarditis of the prostheticpulmonary conduitfoundin a 26-year-oldman. Anechocardiography study around the pulmonary valve showed the presence of a floating mass attached to the wall of the conduit. This formation was thought to be a floating calcific leaflet of the conduit or a developed vegetation of the conduit. Due to the uncertainty of the results, pulmonary multidetector row computed tomography (MDCT) angiography was performed. TheMDCTexamination showed the presence of a floating 4  8-mm sized mass in the pulmonary conduit. Taking into account the patient’ s complaints, medical history data, and clinical-instrumental examination, myocardial scintigraphy with 99mTc-HMPAO-labelled autologous leukocytes combined with CT (99mTc-HMPAO-SPECT/CT) was performed. Based on overlaying of the scintigraphic images and the MDCT aortography scans, anatomic localization of the pathologic accumulation was found in a projection of the pulmonary valve prosthesis. Surgical intervention, with cardiopulmonary bypass, was performed for replacement of the valve-containing conduit. Pathomorphologic study of the surgical material confirmed the hypothesis of Bacterial Endocarditis. Therefore, hybrid technologies such as 99mTc-HMPAO-SPECT/CT contribute to the earlier and more precise diagnosis of infectious endocarditis, avoiding many errors associated with patient treatment and the development of complications.

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    APA: Copy

    SAZONOVA, SVETLANA IVANOVNA, Ilyushenkova, Julia Nikolaevna, Zavadovsky, Konstantin Valerevich, & LISHMANOV, YURIY BORISOVICH. (2017). 99mTc-HMPAO-Labeled Autologous Leukocyte SPECT/CT for Diagnosis of Bacterial Endocarditis of the Prosthetic Pulmonary Conduit: A Clinical Case (NUCLEAR MEDICINE). IRANIAN JOURNAL OF RADIOLOGY, 14(1), 0-0. SID. https://sid.ir/paper/284570/en

    Vancouver: Copy

    SAZONOVA SVETLANA IVANOVNA, Ilyushenkova Julia Nikolaevna, Zavadovsky Konstantin Valerevich, LISHMANOV YURIY BORISOVICH. 99mTc-HMPAO-Labeled Autologous Leukocyte SPECT/CT for Diagnosis of Bacterial Endocarditis of the Prosthetic Pulmonary Conduit: A Clinical Case (NUCLEAR MEDICINE). IRANIAN JOURNAL OF RADIOLOGY[Internet]. 2017;14(1):0-0. Available from: https://sid.ir/paper/284570/en

    IEEE: Copy

    SVETLANA IVANOVNA SAZONOVA, Julia Nikolaevna Ilyushenkova, Konstantin Valerevich Zavadovsky, and YURIY BORISOVICH LISHMANOV, “99mTc-HMPAO-Labeled Autologous Leukocyte SPECT/CT for Diagnosis of Bacterial Endocarditis of the Prosthetic Pulmonary Conduit: A Clinical Case (NUCLEAR MEDICINE),” IRANIAN JOURNAL OF RADIOLOGY, vol. 14, no. 1, pp. 0–0, 2017, [Online]. Available: https://sid.ir/paper/284570/en

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