19 Mantua Road, Mt. Royal, NJ 08061, U.S.A.
History: An asymptomatic 3 year old was evaluated for a murmur. Physical examination was significant for a widely split second heart sound with an ejection systolic murmur in the left upper sternal border.
History: Cardiac aspergilloma is a very rare entity. The diagnosis is usually made by direct observation of the fungal mass during surgery, biopsy, or pathology. We report the CMR findings in a patient with cardiac aspergilloma.
History: A 44 year old male status-post repair of dextro-transposition of the great arteries presented with atypical chest pain in the context of hypertension and hypercholesterolaemia.
History: A 33-year-old man was suspected of having a regurgitant quadricuspid aortic valve on the basis of transthoracic echocardiography following the incidental discovery of a diastolic murmur.
History: A 70-year male presented with gradual deterioration, breathlessness, and peripheral oedema as well as bilateral pleural effusions. He had previous CABGx4(LIMA LAD, VG to OM, Diagonal and RCA)..
History: A 23 year-old morbidly obese female presented with dyspnea on exertion. Shw was born with Down Syndrome, double outlet right ventricle, complete atrioventricular septal defect and pulmonary stenosis and underwent surgical correction at age 5. She also has a reported history of myocarditis at age 19 with resultant systolic dysfunction (EF 35-40%).
History: Clinical History: A 40 year-old male with no significant past medical history was referred for a chest CT due to the discovery of an enlarged pulmonary artery on routine chest x-ray. .
History: This case report describes a case of co-incidental coronary disease, Takotsubo cardiomyopathy and hypertrophic cardiomyopathy, where cardiac magnetic resonance imaging (MRI) was crucial in establishing the diagnoses.
History: 19yo asymptomatic male with an abnormal left ventricular finding and ectopy.
History: A six year old girl was referred to pediatric cardiology for evaluation of a heart murmur.
History: A fifteen years old girl with known bicuspid aortic valve was admitted with infective endocarditis due to Strept. Agalactiae and treated with antibiotic therapy.
History: A 53 year-old man with no significant past medical history presented to our hospital reporting severe substernal chest pressure with associated diaphoresis that woke him up from sleep. A standard 12-lead electrocardiogram (figure 1) showed marked ST-segment elevation in leads V1, V2, and V3 and in the inferior leads II, III, and aVF, with ST depression in leads I, L, with T wave inversion in V5 and V6
History: Progressive aortic root dilatation after repair of tetralogy of Fallot is a rare but recognized complication.The cardiovascular magnetic resonance in this case report represented a key tool for the surgical approach before a tetralogy of Fallot reoperation.
History: An asymptomatic fifteen-year-old boy with dextrocardia and complete transposition of the great arteries (CTGA) who had arterial switch operation and closure of ventricular septal defect (VSD) during infancy
History: A previously healthy 18-year-old woman presented to an outside medical facility with fever and left scapular pain and was found to have an elevated D-dimer.
History: A 52 year old asymptomatic male affected by hypertension and without other remarkable past medical history presented to the outpatients clinic for check-up.
History: 74 year old gentleman was discharged after an uneventful recovery following four vessel coronary artery bypass grafting, which was done for worsening angina pectoris and triple vessel disease.
History: A 60-year-old man, originally from Sardinia, with diabetes and hypertension presented with sporadic, nonspecific precordial discomfort of short duration.
History: A 65 year old, non-diabetic, normotensive and obese female complained of exertional angina of four years’ duration. She had a transient ischemic attack 15 days ago. Physical examination was unremarkable.
History: 59 yo female two months post abdominal hysterectomy, bilateral salpingo-oophorectomy for a high grade endometrial leimyosarcoma.
History: A 61 year old gentleman presented with worsening breathlessness for 2 years. He had a past history of COPD and idiopathic pericardial constriction which had been treated many years earlier by pericardial stripping through a median sternotomy.
History: We present a case of a 27 year old Native American male with a past medical history of complex congenitally corrected transposition of great arteries (CCTGA) with associated double outlet right ventricle (DORV), dextrocardia, subpulmonary stenosis, subpulmonary VSD and PDA.
History: 69 year-old male with history of endovascular abdominal aortic aneurysm repair, COPD, and metastatic lung cancer status post resection on radiation therapy was referred to a cardiothoracic surgeon for consideration of aortic valve replacement (AVR) after a routine transthoracic echocardiography (TTE) at an outside facility revealed evidence of severe aortic stenosis (AS) with a peak gradient of 105 mmHg and aortic valve area (AVA) of 0.78 cm2.
History: A four week old male infant was noted to be dysmorphic including hypertelorism, bilateral inguinal herniae, umbilical hernia and bilateral club feet. A right axillary mass was noted on examination; ultrasound revealed the mass to be a dilated and tortuous vessel but could not conclude definitively whether it was venous or arterial.
History: History: A 46-year-old man with history of Hodgkin’s lymphoma treated with radiation 20 years ago. Four years previously he had undergone pleurodesis for recurrent pleural effusions. He recently developed worsening dyspnea, lower extremity edema, and ascites. At another facility, he was treated initially for interstitial lung disease with bronchodilators without improvement of his symptoms. He was referred to our center for further evaluation.
History: The patient is a previously healthy 9 year old child who presented to her primary care doctor with complaints of her feet turning white.
History: Patient presenting with constitutional symptoms and right atrial mass. Several differential diagnosis and CMR helped to point the correct diagnosis and plan treatment
History: 27 year-old male with the history of heterotaxy syndrome, Tetralogy of Fallot with pulmonary atresia, and right aortic arch.
History: A 51 year old man was referred for a CMR study. He had repair of Tetralogy of Fallot in childhood.
History: A 49 year-old male presented with a 10-day history of worsening shortness of breath, paroxysmal nocturnal dyspnea and orthopnea
History: 68 year old female, smoker, with a history of hyperlipidemia, and type 2 diabetes mellitus. In 2007 she suffered from a myocardial infarction with incomplete revascularization.
History: a 18 year old male with tuberous sclerosis presents for cardiac MR after an abnormal echogenic foci was identified on echocardiogram.
History: 53yo male with dyspnea and left atrial prolapsing sarcoma
History: A 28 year old woman with history of Wolf-Parkinson-White syndrome status-post ablation of a right posterolateral bypass tract in four years earlier who was referred to us for evaluation of an abnormal transthoracic echocardiogram.
History: A 65 year old patient presented with symptoms of worsening right heart failure. Transthoracic echocardiography showed right heart dilatation and severe tricuspid regurgitation with grossly abnormal, thickened and retracted tricuspid valve leaflets.
History: 63 year old male patient initially presented to the outpatient clinic with fatigue and progressive shortness of breath.
History: 69-year-old male with a history of previous myocardial infarction developed increasing exertional dyspnoea and angina four years after initial presentation. CMR demonstrated a left ventricular aneurysm with thrombus.
History: A 43-year old man with no remarkable past medical history presented with progressive dyspnea and peripheral edema. ECG showed frequent polymorphic ventricular ectopic beats Echocardiogram showed LV systolic dysfunction.
History: Myocardial contusion is a ubiquitous cause of hospitalization. The most common etiologies are auto-pedestrian accident, CPR, fall from heights>20’, and motor vehicle accidents.The majority of patients will have a troponin leak and may have EKG changes. Since the right ventricle is the most anterior portion of the heart it is commonly traumatized.
History: An 42 y/o asymptomatic male underwent CMR for screening
History: We decsribe two cases with known and previously documented mitral valve (MV)prolapse on transthoracic echocardiography.
History: Anterior Mitral Valve Cleft in the Presence of a Primum ASD
History: A 38 year-old man without symptoms. His father was diagnosed with right ventricular arrythmogenic cardiomyopathy after heart transplant for ventricular arrhythmias and dilated cardiomyopathy.
History: 72 yo female with susceptibility artifact from oral iron ingestion.
History: An 18-year-old African American male was admitted to our Emergency Department after developing sudden and severe chest pain
History: A 24 year old man underwent surgical repair of tetralogy of Fallot (TOF) at the age of 10 months.
History: A case of non-ST elevation myocardial infarction presenting with out of hospital VF arrest where CMR played a key role in establishing the underlying diagnosis
History: A 64 year old female with acute myocardial infarction 20 years earlier and CABG 10 years previously was admitted with 2 episodes of syncope.
History: Management of a 5-year old girl with tricuspid valve dysplasia.
History: A previously healthy 23 year old military recruit presented to an outside hospital for a routine physical examination and a murmur was noted on exam.
History: A case of severe LV dilatation and systolic dysfunction, where CMR (in particular the pattern of LGE), together with ECG abnormalities pointed towards the correct diagnosis: cardiac sarcoidosis.
History: A 79 year old man with a recent episode of non-sustained ventricular tachycardia.
History: Unsuspected post-traumatic aortic pseudoaneurysm in a patient presenting with acute coronary syndrome
History: A 65 year old female patient with severe, symptomatic mitral regurgitation underwent mitral valve repair for posterior mitral valve leaflet restriction (type IIIb). At surgery, the left atrial wall appeared abnormal and a left atrial biopsy was performed. Surprisingly, histological examination of this biopsy showed chronic, non-caseating granulomatous changes suggestive of sarcoidosis. .
History: A 43 year old male presented with history of dyspnea on exertion and family history of sudden cardiac death. Initial workup...
History: A 74-year old white male with previous history of CAD and CABG and chronic renal failure on hemodialysis, presented to our institution after a spontaneous fall while lawn mowing.
History: MRI evaluation of a double outlet right ventricle with a giant systemic venous collateral
History: A 56-year old male underwent heart transplantation (HTX) 8 years ago.
History: A 58-year old man, free from any previous medical history, presented to the emergency department with retrosternal oppressive chest pain, varying with inspiration and posture, of rapid installation and evolution after prolonged direct exposure to cold airflow from an air-conditioner.
History: A 57 year old woman with a family history of premature coronary artery disease and a prolonged history of exertional chest pain underwent an exercise stress test and multislice CT coronarography which were negative for myocardial ischemia and obstructive coronary artery disease.
History: Multimodality imaging of an anomalous right coronary artery arising from the pulmonary arterial trunk
History: A 78 year old patient was admitted to the Accident and Emergency department with a syncope. The ECG showed a broad complex tachycardia (left bundle-branch morphology with superior axis) with a rate of 230 bpm. The patient received DC cardioversion under sedation, which resulted in sinus rhythm.
History: A 19-year old caucasian female with documented ventricular tachycardia was referred to electrophysiology service.
History: A 49-year old male patient with previous history of inferior infarction treated with angioplasty and stenting of the RCA, was admitted for new onset angina at rest.
History: 3D MRA demonstrating pre and post stenting of descending thoracic aorta coactation in addition to a bicuspid aortic valve with dilated aortic root.
History: **best case of the week in 2011. A patient with chest pain had echocardiography suspicious for HCM - CMR resolved the true diagnosis of multivessel CAD.
History: Presentation of alternative techniques for improving image quality in patients with arrhythmia.
History: A 35 year old male with beta-thalassemia major, regularly transfused since the age of 30 months, started chelation treatment with subcutaneous desferrioxamine at the age of 4 years.
History: Electrical Activation of Atrial Fibrillation via persistent left SVC
History: A 59 year old male with history of pleuritic chest pain and pulmonary embolism presenting with painless hematuria
History: This is a case of HCM with asymmetrical hypertrophy which is distributed in a spiral or helical way from base to apex.
History: A 32-year-old man presented with chest pain, fever, erythema nodosum of the lower extremities and swelling of both ankles. ECG showed ST-elevation in leads I and aVL and troponin was raised 40-fold.
History: Large left ventricular basilar aneurysm with thrombus secondary to infarct
History: A 27-year-old female active duty soldier with no significant past medical history was evacuated from Iraq for flash pulmonary edema.
History: A 68 year-old hypertensive male patient presented with typical chest pain. The ECG showed new characteristic ischemic changes and troponin dosage was positive. An urgent coronary angiogram revealed unobstructed epicardial coronary arteries. The echo showed a significant degree of septal wall thickening, out of proportion with his well-controlled blood pressure profile, suggesting possible hypertrophic cardiomyopathy.
History: 16 y/o male with homozygous sickle cell anemia presenting with a history of chest pain and normal coronary angiography.
History: An incorrect diagnosis of Gerbode defect by CMR clarifed by echocardiography with agitated saline.
History: An 48 year old male was admitted to hospital with 6 hours of crushing central chest pain.
History: Case demonstrating CMR sequences which can aid in the effective diagnosis of hemorrhagic infarct
History: A 24-year-old male underwent a subclavian flap repair for aortic coarctation at the age of 1. A recent echocardiogram had been reported as showing mild aortic regurgitation and a dilated aortic root.
History: 62 year old asthmatic male presented to the cardiologists with worsening atypical chest pain and breathlessness on exertion.
History: A 2 year-old male with a history of one week febrile illness and cough was evaluated by his pediatrician
History: A 34-year-old white female with a history of anxiety, mild asthma, and allergic rhinitis was recently hospitalized with an episode of SVT
History: A 15-year-old boy fell down into a 10 meters gutter, he was found spleen bleeding and pansystolic cardiac murmur at the left sternal border without rib fracture.
History: A 67-year-old female with hypertension presented with a 5-month history of exertional chest pain and dyspnea.
History: A 59 y/o female with history of breast CA s/p right lumpectomy and ovarian CA was referred for CMR
History: CMR in possible Peripartum Cardiomyopathy demonstrates Duchenne muscular dystrophy in a carrier - scar burden reinforces decision for ICD implantation
History: A 28 years old female with Scleroderma (SSc) for 11 years and acute angina and elevated creatine kinase (CK).
History: A nice example of how CMR can be used to evaluate the severity of AI using cine and phase contrast CMR imaging.
History: 50 y/o male with a 3 week history of accelerated angina...
History: A 26-year-old male patient with past medical history of aortic coarctation repair...
History: A 26 year old male had previously undergone a Ross procedure for a stenosed bicuspid aortic valve when aged 17yrs.
History: Atrial appendage thrombus post thoracoscopic atrial appendage amputation imaged with CMR.
History: Kawasaki's Disease and Atrial Septal Aneurysm. Single imaging modality for complete assessment.
History: A 75-year-old woman with atrial fibrillation
History: 81 year-old male with history of atrial fibrillation
History: 61 year old female with endocardial cushion referred for CMR to measure shunt flow.
History: A 52 year old male with a dilated right ventricle and elevated pulmonary artery pressures on echocardiography.
History: Woman, 44 y/o, diagnosed by echocardiography of Non-Obstructive Hypertrophic Cardiomyopathy (HCM)
History: A 79 year old male with late-presentation lateral STEMI 3days earlier..
History: A 46-year-old man presents with breathlessness, heart failure and chest pain. Troponin borderline
History: A man in his 40s presenting to respiratory medicine with 6 months breathlessness and hemoptysis.
History: A 32 yrs old man was referred for assessment of iron loading by measurement of cardiac T2*. Past medical history of transfusion dependent thalassaemia (thalassemia) major and chronic iron chelation therapy.
History: Asymptomatic 62 yr ?. Diagnosed with HCM more than 20 with an abnormal ECG. Recent echo demonstrated concentric LVH. CMR to further assess this.
History: A 23 year old male presented with increasing dyspnea, abdominal distension, pedal edema and orthopnea over 18 months.
History: ** Case of the year winner, 2008
History: A 52 yr old lady, previously asymptomatic with no previous medical history, underwent a primary PCI for acute chest pain with inferior STEMI and LBBB. The left coronary system was unobstructed and RCA was occluded distally. PCI successfully established flow into the postero-lateral branch but not posterior descending branch of the RCA.
History: 35yr male. Known previous DCM diagnosed via echocardiography. Currently stable, NYHA Class I, and well controlled. No significant arrhythmias noted. Referred for CMR.
History: 48 Y/O male from Kuwait presented with dyspnea and palpitations. Holter shows 2:1 heart block episodes. PMH: severe asthma.
History: 20 years old male, history of RF ablation for WPW syndrome, without prior history of heart failure.
History: 41 year old black female admitted for chest pain, malaise, weakness and increasing peripheral edema. Tibial biopsy had demonstrated typical findings of Erdheim-Chester disease (ECD) 8 years earlier. She has previously documented involvement of the long bones, pancreas, pericardium and thoracic aorta with her ECD. Cardiac biomarkers were negative for myocardial necrosis.
History: A 22-year-old college student noted chest pain one week after recovering from flu-like symptoms. His ECG revealed inferolateral ST-elevation and his cardiac biomarkers were elevated.
History: 35 year old man. Known congenital bicuspid aortic valve. Recently noted ascending aortic dilatation on routine echocardiogram. Referred for a cardiac MRI for LV functional and morphologic assessment and contrast MRA for aortic evaluation.
History: A 37 yr female had an echocardiogram for chest pain showing a possible mass in the right atrium. CMR was performed to further characterise this.
History: 2 day old female, mild respiratory distress
History: 73 year male. 1 year hx of myalgia and weight loss. RA mass on echo.
History: A 54 yr old man with abnormal ECG and apical obliteration on LVgram but normal echo, was referred for CMR (possible apical hypertrophic cardiomyopathy).
History: 18 Y/O male presented with dyspnea and palpitations. His father had died suddenly at age 32.
History: A 46 year old male with 6 months breathlessness. Previous patch repair of â€œadult typeâ€ CoA.
History: A 44 yr old lady transferred for primary PCI for chest pain with lateral ST elevation. Troponin I 26, CK 1233. Normal lipids (TC:HDL 3.17). Only risk factor for IHD was hypertension: non-smoker.
History: A 20 year-old Hispanic male with a murmur since childhood presented with worsening exertional chest pressure and dyspnea. CMR was ordered for further evaluation.
History: A 47 year male previously admitted with a severe pericardial effusion which was drained and an associated left pleural effusion. Subsequently referred for a CMR scan with as a structure Ã¢â‚¬Å“like a cystÃ¢â‚¬Â was noted near the heart on echocardiography.
History: An 82 yr man admitted with palpitations, presyncope and sustained monomorphic VT. Family history, his brother died age 6 of unknown cause.
History: A stable, idiopathic pulmonary artery hypertensive (IPAH) 38 year old female (PAP 110 mmHg, WHO functional class III) underwent CMR.
History: A 59 year old man with previous anterior MI presented with a 6 hour history of acute dyspnoea without chest pain
History: A 31 year old male with a 2 year History of recurrent ascites, peripheral oedema and deranged LFTs. Budd-Chiari syndrome suspected. Proteinuria noted so Renal MRA requested to exclude renal vein thrombosis
History: A 28 year old white male with incidental CXR abnormalities: cardiomegally, right heart enlargement and R pleural effusion ECG: RVH
History: 72 yr old man with a 3 week history of chest pain and shortness of breath presented in cardiogenic shock with pulmonary edema, acute renal failure and VT
History: An incidental mass was identified in the right atrium of a middle aged female on pre-operative trans thoracic echocardiography (top left). CMR requested for further characterization.
History: Family screening implemented for ARVC after a 1st degree relative died of cardiomyopathy with ventricular dilatation. In this individual, and abnormal ECG with right pre-cordial T wave inversion and a shift of the transition zone to V5 was found suggesting possible ARVC. Echo normal but with poor windows.
History: Increasing Breathlessness. Past medical history included a thymoma removal with subsequent mediastinal radiotherapy. Previous successful PCI to the LAD for radiation induced coronary artery disease.
History: A 46 year old African American presenting with VT of LBBB morphology.
History: A 59 year old with an 8 year history of asymptomatic ARVC diagnosed through family screening. A disease causing mutation in plakophilin was found. Type 1 diabetes since childhood. Recent echo showed a possible new LV apical aneurysm. Coronary angiography normal.
History: A 55 y.o. male admitted with new heart failure. No acute coronary syndrome. Past medical history includes type I Diabetes, hypertension, chronic renal insufficiency and anaemia of chronic disease. After stabilization, transthoracic echo showed an EF of 40%, no significant valvular disease. CMR was requested.
History: 6 months ago, a 48 year old body builder had troponin positive chest pain with inferior T wave inversion on ECG and normal coronary angiography. Echo had suggested possible inferior hypokinesia. Ongoing clinical uncertainty
History: A 74 year old female with increasing breathlessness. Known rheumatic heart disease and LVH.
History: 61 year old male, known renal cell carcinoma with renal venous thrombosis.
History: ***Winner, case of the Year, 2007.
History: An 80 year old man with STEMI and cardiogenic shock.
History: 62 year old man with HCM with obstruction referred for alcohol septal ablation (ASA) refractory symptoms of angina and dyspnea. This was a baseline study done prior to ASA.,
History: A 41 year-old man admitted with 3 hours of chest pain with initial thrombolysis (tenecteplase) and salvage angioplasty one hour later.
History: 34-yr-old male, recurrent syncope and dyspnea
History: A 53-yr-old male with 2 types of symptomatic VT. One VT with LBBB and superior axis suggested origin from RV inflow, likely from IVS. Rest ECG shows inverted T waves inferiorly and no epsilon wave.
History: A 69 yr-old female, increasing breathlessness.
History: A 17-yr-old female, referred with hypertension.
History: A 42-yr-old male, recent onset breathlessness.
History: A 42 year-old male admitted with 3 days of chest pain and diarrhoea
History: A 61-year-old male, 24 hours of chest pain, CK raised, normal ECG.
History: A 16 year old male, known coarctation + dysplastic aortic valve.
History: A 55 year old male presented with breathlessness and palpitations
History: A 56 year old female, atypical chest pain and collapse.
History: A 64 year old women presented with chest pain and palpitations. The ECG showed Extensive T wave inversion. Echocardiography (L) was reported as showing diastolic dysfunction and an akinetic apex. Cine CMR confirmed the clinical suspicion of apical hypertrophic cardiomyopathy (aHCM).
History: An 84 year old women presented breathless. Earlier in the year, she had undergone coronary artery bypass from which she had made a full recovery. Echocardiography demonstrated a left atrial mass, of uncertain aetiology.
History: A 59 year old presented with paroxysmal atrial fibrillation, breathlessness, ankle oedema and disturbed liver function tests.
History: A 33 year old man with HCM with a family history of sudden death. Seven years previously, a single Holter had shown 3 beats of NSVT. Cine CMR shows HCM with ASH, no SAM, no LVOTO (left or right), and normal systolic function. After gadolinium, there was very extensive late enhancement, (44% of LV myocardium, arrowed). The scan triggered re-evaluation of cardiac risk, and the patient was offered an ICD.
History: An 80 year old men presented with dyspnea. Echo showed a LA mass. Cine CMR (left) showed a large (7x7x4cm) tumor attached to the fossa ovalis, prolapsing through the mitral valve. Signal intensities: low T1 and high T2 (middle, top and bottom) were also compatible with myxoma, subsequently confirmed at surgery (right). The patient was discharged 6 days after surgery.
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Discrepancies between cardiovascular magnetic resonance and Doppler echocardiography in the measurement of transvalvular gradient in aortic stenosis: the effect of flow vorticity
Garcia J, Capoulade R, Le Ven F, Gaillard E, Kadem L, Pibarot P and Larose ?
Journal of Cardiovascular Magnetic Resonance 2013, 15:84 (20 September 2013)
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