PMC3026994_01
Four-chamber CE-MRI revealed an extensive transmural anterior AMI with septal involvement.
CRIM2010-645236.001.jpg
PMC3026994_01_CRIM2010-645236.001.jpg
fig1
Cine short axis, two- and four-chamber MRI imaging showed a dilated right and left ventricle with an almost severely reduced left and right ventricular function (LV ejection fraction = 35%), a pronounced apical post-AMI aneurysm with transmurally infarcted myocardial tissue (Figure 1) as thin as 1.5 mm together with a moderate to severe mitral and tricuspid regurgitation.
Short axis MRI shows the hemodynamically significant IVSD.
CRIM2010-645236.002.jpg
PMC3026994_01_CRIM2010-645236.002.jpg
fig2
Short axis imaging (Figure 2) revealed a hemodynamically highly significant 12 mm large apical interventricular septal defect (IVSD) with an MRI estimated regurgitation fraction of 52%.