PMC9883723_01
ECG demonstrating sinus tachycardia with severe right ventricular hypertrophy and strain with frontal axis deviated to the right.
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ECG (Figure 1) demonstrated sinus tachycardia with marked right axis deviation, right bundle branch block (RBBB) and severe right ventricular hypertrophy (RVH).
CMR: Panels A and B illustrate the relationship of the great arteries and the VSD. Panel C demonstrates subaortic stenosis. Panel D illustrates the tight band across the main pulmonary artery. Panels E and F show late Gadolinium enhancement, with difficulty in obtaining contrast between blood pool and myocardium. Additionally patchy right ventricular scarring is visualised.
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Cardiac magnetic resonance imaging (CMR, Figure 2) demonstrated situs solitus, levocardia, atrio-ventricular concordance, DORV with side-by-side great vessels and a doubly committed VSD.