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Performing and Processing FNA of Anterior Fat Pad for Amyloid
Published on: October 30, 2010
Delayed Diagnoses of Cardiac Amyloidosis
Cooper B Kersey1, Graham Bevan1, Douglas Leedy1
1Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA.
None:
Cardiac sarcoidosis (CS) can be challenging to accurately diagnose and relies on a complex diagnostic framework because of the limited sensitivity of endomyocardial biopsy. Frequently, the diagnosis of CS depends on cardiac 18F-fluorodeoxyglucose positron emission tomography, which has limited specificity for sarcoidosis. We report 3 cases of individuals who were initially diagnosed and treated for isolated CS based on multimodality cardiac imaging and later definitively reclassified to wild-type transthyretin cardiac amyloidosis from histopathology obtained by endomyocardial biopsy.
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