EURORAD ESR

Case 9792

Apical hypertrophic cardiomyopathy

Author(s)
Baltar BN, Arias-Gonzalez M, Iglesias-Castañón A, Ruibal-Villanueva C, Rodríguez-Alvarez M, Saborido-Avila C

Diagnóstico por Imagen. Galaria,
Empresa Pública de Servicios Sanitarios.
Complejo Hospitalario Universitario de Vigo, Spain
 
Patient
female, 69 year(s)
 
 
  • Figure 1
    Long axis view. b-SSFP sequence

    Thickening of the apical segments and scarce filling of the apical LV cavity, with the "spadelike" configuration is appreciated.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Education; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 2
    Long axis view. Delayed enhancement

    Area of delayed enhancement in the hypertrophied (apical) segments. Enhancement is diffuse and mildly heterogeneous.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Education; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 3
    Long axis view. Cine imaging

    Thickening of the apical segments and scarce filling of the apical LV cavity, with the "spadelike" configuration is appreciated. Mild mitral regurgitation is also noted.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Education; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 4
    Four chambers view.

    Correspondence between the hypertrophied segments in the b-SSFP sequence (A) and the delayed enhancement image (B). Thickening of the apical portion of the right ventricle is also noted.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Education; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 5
    Short axis. Apical segments.

    Marked hypertrophy (up to 23mm of wall thickness), and small telediastolic apical cavity.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Education; Special Focus: Hyperplasia / Hypertrophy;
     
     
Thickening of the apical segments and scarce filling of the apical LV cavity, with the "spadelike" configuration is appreciated.
 
Area of delayed enhancement in the hypertrophied (apical) segments. Enhancement is diffuse and mildly heterogeneous.
 
Thickening of the apical segments and scarce filling of the apical LV cavity, with the "spadelike" configuration is appreciated. Mild mitral regurgitation is also noted.
 
Correspondence between the hypertrophied segments in the b-SSFP sequence (A) and the delayed enhancement image (B). Thickening of the apical portion of the right ventricle is also noted.
 
Marked hypertrophy (up to 23mm of wall thickness), and small telediastolic apical cavity.
 
 
 
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