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Echocardiographic CW-Doppler demonstrates the increased pulmonary artery systolic pressure of 36.9 mmHg.
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In addition there was right atrial enlargement, moderate to severe mitral regurgitation, moderate aortic regurgitation and severe pulmonary hypertension (peak systolic pulmonary artery pressure 37 mmHg) (Figure 1).
(A) Three-chamber view of the cardiac MRI shows trabeculation of the left ventricular apex and mid ventricular segments. (B) Four chamber view of the cardiac MRI demonstrates global biventricular dilation with prominent intramyocardial recesses in communication with the ventricular cavities.
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Cardiac MRI was performed and demonstrated the global dilation and diffuse hypokinesia (Figure 2A). The right ventricle was dilated and showed exhibited trabeculations as well as prominent intramycocardial recesses, which confirmed the echocardiographic findings (Figure 2B).