Thallium-201 stress redistribution abnormalities of the right ventricle: A manifestation of proximal right coronary artery stenosis

Michael B. Brachman, Alan Rozanski, Yzhar Charuzi, Jamshid Maddahi, Alan D. Waxman, Daniel S. Berman

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Thallium imaging in conjunction with electrocardiographic stress testing has become a widely utllized method for evaluating the presence and location of coronary artery disease. The literature has emphasized the appearance of the left ventricle with little mention of the right ventricle. This report presents the initial demonstration of abnormal right ventricular myocardial radionuclide visualization due to right coronary artery stenosis, as exemplified in two patients. In both patients a perfusion defect was documented in the free wall of the right ventricle with early redistribution imaging showing reversibility of these defects. Both patients were found to have proximal stenosis of the right coronary artery at cardiac catheterization. Thereby, the appearance of the free right ventricular wall on thallium imaging may provide useful additional information regarding presence and location of right coronary artery stenosis.

Original languageEnglish
Pages (from-to)288-291
Number of pages4
JournalAmerican Heart Journal
Volume101
Issue number3
DOIs
StatePublished - Mar 1981
Externally publishedYes

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