Persistent FDG Uptake at Apical Aneurysm in a Patient With Cardiac Sarcoidosis

Chaitanya Rojulpote; Shivaraj Patil; Mahesh K Vidula; Robert Kotloff; Stuart Prenner; Paco E Bravo

doi:10.1016/j.jaccas.2023.101763

Persistent FDG Uptake at Apical Aneurysm in a Patient With Cardiac Sarcoidosis

JACC Case Rep. 2023 Mar 15:10:101763. doi: 10.1016/j.jaccas.2023.101763.

Authors

Chaitanya Rojulpote^{1

2}, Shivaraj Patil^{1

3}, Mahesh K Vidula⁴, Robert Kotloff⁵, Stuart Prenner⁴, Paco E Bravo^{1

4}

Affiliations

¹ Division of Cardiovascular Imaging, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
² Department of Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA.
³ Division of Cardiology, Department of Medicine, Einstein Medical Center, Philadelphia, Pennsylvania, USA.
⁴ Division of Cardiology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
⁵ Division of Pulmonology, Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Abstract

We present a case of cardiac sarcoidosis with persistent, focal fluorodeoxyglucose uptake at the left ventricular apical aneurysm concerning for ongoing active inflammatory injury, prompting aggressive immunosuppressive therapy. This case highlights the importance of understanding the various clinical entities that may resemble disease activity on fluorodeoxyglucose positron emission tomography/computed tomography imaging. (Level of Difficulty: Intermediate.).

Keywords: aneurysm; cardiac sarcoidosis; echocardiography; fluorodeoxyglucose; immunosuppression; positron emission tomography.

Publication types

Case Reports