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Computed tomography demonstration of lipomatous metaplasia of the left ventricle following myocardial infarction.

Authors
  • Winer-Muram, Helen T
  • Tann, Mark
  • Aisen, Alex M
  • Ford, Lincoln
  • Jennings, S Gregory
  • Bretz, Robert
Type
Published Article
Journal
Journal of computer assisted tomography
Publication Date
Jan 01, 2004
Volume
28
Issue
4
Pages
455–458
Identifiers
PMID: 15232375
Source
Medline
License
Unknown

Abstract

Replacement of myocardium by fat, particularly of the right ventricle, is often diagnosed as arrhythmogenic right ventricular dysplasia. At autopsy, however, 68% of scars associated with chronic ischemic heart disease have shown fatty metaplasia in the scar. Four patients with a past history of previous myocardial infarctions and computed tomography demonstration of fatty change in left ventricular regions of hypokinesis and infarction are presented. It is proposed that these findings represent ischemic fatty metaplasia, an alternative etiology of fatty tissue replacing myocardium.

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