EURORAD ESR

Case 11856

Hypertrophic cardiomyopathy with apical aneurysm: a particular case without significant coronary obstruction

Author(s)
Elisabetta Chiodi1, Maria Teresa Cannizzaro1, Bruna Malta2, Clorinda Montalto2, Marcello Natali2, Zairo Ferrante2, Nicola Murri Dello Diago2, Andrea Fiorencis3, Donato Mele3, Riccardo Righi1, Melchiore Giganti2, Giorgio Benea1.

1) Radiology Department,
2) Universitary Radiology Department
(Director: Ph Melchiore Giganti),
3) Cardiology Department,
Arcispedale Sant’Anna,
Cona (Ferrara), ITALY
Email:elisabetta.chiodi@alice.it
 
Patient
male, 58 year(s)
 
 
  • Figure 1
    Steady state free precession

    Cardiac MRI evaluation using SSFP performed in the 3-chamber plane, demonstrates a left mid-ventricular hypertrophy (and lesser RV) (arrow) with apical aneurysm aspect of the apex.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 2
    T1 and T2 black blood

    Cardiac MRI evaluation using T1 black blood without fat sat (a) and T2 fat sat (b), performed in the 4-chamber plane.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 3
    DE after contrast administration

    The delayed enhancement imaging, segmented inversion recovery gradient recalled echo sequence performed in the 4-chamber plane, confirms the presence of apical aneurysm, with a little apical thrombus apposition (arrow).

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 4
    Coronary CT

    Coronary-CT demonstrates all significant stenoses, in particular at the proximal level of IVA.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
Cardiac MRI evaluation using SSFP performed in the 3-chamber plane, demonstrates a left mid-ventricular hypertrophy (and lesser RV) (arrow) with apical aneurysm aspect of the apex.
 
Cardiac MRI evaluation using T1 black blood without fat sat (a) and T2 fat sat (b), performed in the 4-chamber plane.
 
The delayed enhancement imaging, segmented inversion recovery gradient recalled echo sequence performed in the 4-chamber plane, confirms the presence of apical aneurysm, with a little apical thrombus apposition (arrow).
 
Coronary-CT demonstrates all significant stenoses, in particular at the proximal level of IVA.
 
 
 
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