PMC4008505_01
Panel A: son short-axis view T2 weight cardiac MRI with black blood and fat saturation showing bright signal intensity of the lateral wall (white arrows) suggesting myocardial oedema. Panels 1B and 1C: son short-axis view (1B) and 4-chamber view (1C) cardiac MRI showing subepicardial late gadolinium enhancement of the lateral wall (white arrows) suggesting diagnosis of myocarditis. Panel 2A: father short-axis view T2 weight cardiac MRI with black blood and fat saturation without signal abnormality. Panel 2B: father short-axis view (1B) cardiac MRI showing subepicardial late gadolinium enhancement of the inferolateral wall (white arrow) suggesting diagnosis of myocarditis. Panel 2C: father four-chamber view cine-MRI during the first part of the systole showing dilated cardiomyopathy with functional mitral regurgitation (black arrow).
CRIM.CARDIOLOGY2012-204371.001.jpg
PMC4008505_02_CRIM.CARDIOLOGY2012-204371.001.jpg
fig1
Cardiac MRI was performed showing a DC with severe impairment of the LVEF, functional mitral regurgitation (Figure 1 panel 2C), and subepicardial inferoseptal late gadolinium enhancement (Figure 1 panel 2B). There was no signal abnormality in the T2 weight sequences (Figure 1 panel 2A) suggesting an aged myocarditis without active inflammation.
PMC4008505_02
Panel A: son short-axis view T2 weight cardiac MRI with black blood and fat saturation showing bright signal intensity of the lateral wall (white arrows) suggesting myocardial oedema. Panels 1B and 1C: son short-axis view (1B) and 4-chamber view (1C) cardiac MRI showing subepicardial late gadolinium enhancement of the lateral wall (white arrows) suggesting diagnosis of myocarditis. Panel 2A: father short-axis view T2 weight cardiac MRI with black blood and fat saturation without signal abnormality. Panel 2B: father short-axis view (1B) cardiac MRI showing subepicardial late gadolinium enhancement of the inferolateral wall (white arrow) suggesting diagnosis of myocarditis. Panel 2C: father four-chamber view cine-MRI during the first part of the systole showing dilated cardiomyopathy with functional mitral regurgitation (black arrow).
CRIM.CARDIOLOGY2012-204371.001.jpg
PMC4008505_02_CRIM.CARDIOLOGY2012-204371.001.jpg
fig1
Cardiac MRI was performed showing a DC with severe impairment of the LVEF, functional mitral regurgitation (Figure 1 panel 2C), and subepicardial inferoseptal late gadolinium enhancement (Figure 1 panel 2B). There was no signal abnormality in the T2 weight sequences (Figure 1 panel 2A) suggesting an aged myocarditis without active inflammation.
Twelve leads electrocardiogram during endocavitary exploration showing basal-mitral ventricular tachycardia triggered by isoprenaline.
CRIM.CARDIOLOGY2012-204371.002.jpg
PMC4008505_02_CRIM.CARDIOLOGY2012-204371.002.jpg
fig2
Cardiac MRI was performed showing a DC with severe impairment of the LVEF, functional mitral regurgitation (Figure 1 panel 2C), and subepicardial inferoseptal late gadolinium enhancement (Figure 1 panel 2B). There was no signal abnormality in the T2 weight sequences (Figure 1 panel 2A) suggesting an aged myocarditis without active inflammation. He underwent ablation of a nonreentrant ventricular tachycardia (Figure 2) and cardioverter defibrillator implantation.