January 1-December 1, 2013
Pediatric MPI is not often done in our institution, because of difficulties performing these procedures and significant radiation exposure to the patient. This is a case report on a two (2) month old boy who was diagnosed with transposition of the great artery (TGA) and underwent an arterial switch operation (ASO) and tolerated procedure well but developed ST elevation in leads Il, In and aVF but cardiac markers were negative. Patient was referred for myocardial perfusion scan which revealed a mainly scarred myocardium in the apical to basal to basal inferior and inferolateral LV segments. In conclusion, MPI is a safe and well-tolerated procedure for assessing left ventricular perfusion defects ill pediatric patients.