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Home » 2008
Cases of the Week 2008
| Number 08-23: A tricky diagnostic challenge History: A man in his 40s presenting to respiratory medicine with 6 months breathlessness and hemoptysis. |
| Number 08-22: A Segmented thoracic mass 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. |
| Number 08-21: Myocardial scarring from 2 distinct pathologies History: Asymptomatic 62 yr ?. Diagnosed with HCM more than 20 with an abnormal ECG. Recent echo demonstrated concentric LVH. CMR to further assess this. |
| Number 08-20: Imaging Restrictive cardiomyopathy by CMR History: A 23 year old male presented with increasing dyspnea, abdominal distension, pedal edema and orthopnea over 18 months. |
| Number 08-19 Diagnosing RV dilatation by CMR History: ** Case of the year winner, 2008 |
| Number 08-18 'Bystander' ST elevation MI in DCM 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. |
| Number 08-17: Isolated Left Ventricular Apical Hypoplasia History: 35yr male. Known previous DCM diagnosed via echocardiography. Currently stable, NYHA Class I, and well controlled. No significant arrhythmias noted. Referred for CMR. |
| Number 08-16: Advanced late gadolinium enhancement optimisation History: 48 Y/O male from Kuwait presented with dyspnea and palpitations. Holter shows 2:1 heart block episodes. PMH: severe asthma. |
| Number 08-15: Danon Disease - A rare cause of LV hypertrophy History: 20 years old male, history of RF ablation for WPW syndrome, without prior history of heart failure. |
| Number 08-14: Erdheim-Chester Disease by CMR 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. |
| Number 08-13: Viral Myocarditis by CMR 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. |
| Number 08-12: Congenital Bicuspid Aortic Valve with Ascending Aortic Dilatation 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. |
| Number 08-11: CMR for RA Mass characterization 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. |
| Number 08-10: Interrupted Aortic Arch History: 2 day old female, mild respiratory distress |
| Number 08-09: Lipomatous Hypertrophy of the Interatrial Septum (LHIAS) History: 73 year male. 1 year hx of myalgia and weight loss. RA mass on echo. |
| Number 08-08: Incidental chest findings - is CT needed? 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). |
| Number 08-07: Left Ventricular Trabeculae, Non-Compaction and DCM History: 18 Y/O male presented with dyspnea and palpitations. His father had died suddenly at age 32. |
| Number 08-06: Coarctation & aortic stenosis? History: A 46 year old male with 6 months breathlessness. Previous patch repair of “adult type†CoA. |
| Number 08-05: Acute MI, normal coronaries 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. |
| Number 08-04: Where is the murmur from? 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. |
| Number 08-03: Primary Pericardial Echinococcosis 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 “like a cyst†was noted near the heart on echocardiography. |
| Number 08-02: Apical HCM, fibrosis and sustained VT History: An 82 yr man admitted with palpitations, presyncope and sustained monomorphic VT. Family history, his brother died age 6 of unknown cause. |
| Number 08-01: Measuring Dyssynchrony in Pulmonary Hypertension History: A stable, idiopathic pulmonary artery hypertensive (IPAH) 38 year old female (PAP 110 mmHg, WHO functional class III) underwent CMR. |