PMC6387729_01
ECG findings upon admission: sinus rhythm with ST elevation (ST 2 mm in I, II, aVL, and V4-V6).
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fig1
Electocardiography (ECG) revealed a sinus rhythm with ST elevation (ST 2 mm in I, II, aVL, and V4-V6) (Figure 1).
T2 STIR sequence, showing localized high intensity signal on the lateral midepicardial wall of the LV, corresponding to inflammation edema. Hyperemic post-Gad sequence: high intensity signal in the midmyocardial segment of the midlateral LV wall, corresponding to inflammation and/or fibrosis.
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fig2
Accordingly, a cardiac MRI using delayed enhancement was performed (Figures 2 and 3) revealing recent myocardial damage with edema and fibrosis in the middle and upper left and right lower wall and increased left ventricular dimensions with normal systolic function.  In addition, cardiac MRI revealed overriding of the right ventricle with normal systolic function
Small bilateral pleural effusion and localized pericardial effusion around the anterolateral RV wall.
CRIM2019-3701016.003.jpg
PMC6387729_01_CRIM2019-3701016.003.jpg
fig3
Accordingly, a cardiac MRI using delayed enhancement was performed (Figures 2 and 3) revealing recent myocardial damage with edema and fibrosis in the middle and upper left and right lower wall and increased left ventricular dimensions with normal systolic function.  In addition, cardiac MRI revealed overriding of the right ventricle with normal systolic function