Multimodal Imaging to Understand Left Ventricular Systolic Dysfunction in a Patient With Sepsis-Related Myocardial Calcification

Marjorie Canu; Adrien Jankowski; Ismail Mekhdoul; Caroline Augier; Muriel Salvat; Charlotte Casset; Marion Maurin; Carole Saunier; Gerald Vanzetto; Gilles Barone-Rochette

doi:10.1016/j.jaccas.2021.04.037

Multimodal Imaging to Understand Left Ventricular Systolic Dysfunction in a Patient With Sepsis-Related Myocardial Calcification

JACC Case Rep. 2021 Jun 16;3(6):966-970. doi: 10.1016/j.jaccas.2021.04.037. eCollection 2021 Jun.

Authors

Affiliations

¹ Department of Cardiology, University Hospital, Grenoble Alpes, France.
² Department of Radiology, University Hospital, Grenoble Alpes, France.
³ INSERM, U1039, Radiopharmaceutiques Biocliniques, Grenoble Alpes University, Grenoble Alpes, France.
⁴ French Alliance Clinical Trial, French Clinical Research Infrastructure Network, Paris, France.

Abstract

A 52-year-old man with acute peritonitis developed severely decreased left ventricular (LV) ejection fraction. Multimodal imaging allowed the diagnosis of sepsis-related myocardial calcification. Moreover, 2-dimensional speckle tracking echocardiography allowed a better understanding of LV dysfunction and confirmed the hypothesis that regional LV dysfunction is in accordance with the localization of calcifications. (Level of Difficulty: Intermediate.).

Keywords: 2D, 2-dimensional; CT, computed tomography; LV, left ventricular; LVEF, left ventricular ejection fraction; STE, speckle-tracking echocardiography; TTE, transthoracic echocardiography; multimodal cardiac imaging; myocardial calcification.

Publication types

Case Reports