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Thallium-201 myocardial SPECT in a patient with mirror-image dextrocardia and left bundle branch block

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Abstract

A 53-year-old male patient with a previous diagnosis of situs inversus with mirror-image dextrocardia underwent thallium-201 (Tl-201) stress-redistribution myocardial perfusion single photon emission computed tomography (SPECT). Electrocardiogram (ECG) obtained on right hemithorax revealed constant complete left bundle branch block. Tl-201 stress-redistribution SPECT images revealed abnormal perfusion with reversible ischemia in the anteroseptal, septal and inferoseptal walls. Coronary angiography performed 1 month after SPECT study was normal. This case illustrates that false positive reversible perfusion defects can be seen in patients with mirror-image dextrocardia associated with constant complete left bundle branch block. To our knowledge, this is the first reported case of mirror-image dextrocardia and constant complete left bundle branch block with false positive Tl-201 SPECT findings.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Gazi University, School of Medicine, Ankara, Turkey

    Mehmet T. Kitapci, N. Hakan Temiz & Mustafa Ünlü

  2. School of Medicine, Department of Nuclear Medicine, Cumhuriyet University, 58140 Campus, Sivas, Turkey

    Bülent Turgut & Taner Erselcan

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  1. Bülent Turgut
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  2. Mehmet T. Kitapci
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  3. N. Hakan Temiz
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  4. Mustafa Ünlü
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  5. Taner Erselcan
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Correspondence to Bülent Turgut.

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Turgut, B., Kitapci, M.T., Temiz, N.H. et al. Thallium-201 myocardial SPECT in a patient with mirror-image dextrocardia and left bundle branch block. Ann Nucl Med 17, 503–506 (2003). https://doi.org/10.1007/BF03006443

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  • DOI: https://doi.org/10.1007/BF03006443

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