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"Where is the heart?" When cardiac magnetic resonance imaging helps if echocardiography is inconclusive


Caretta, Alessandro; Leo, Laura Anna; Paiocchi, Vera Lucia; Gauthier, Lorenzo Grazioli; Faletra, Francesco Fulvio; Moccetti, Tiziano (2019). "Where is the heart?" When cardiac magnetic resonance imaging helps if echocardiography is inconclusive. Journal of Cardiovascular Echography, 29(2):82-85.

Abstract

Cardiovascular magnetic resonance (CMR) is the gold standard technique to comprehensively assess cardiac structure and function. A 64-year-old male, planned for surgical coronary revascularization, underwent transthoracic and transesophageal echocardiography for a mitral regurgitation, with an eccentric jet of unclear mechanism; these examinations were inconclusive because of the lack of adequate visualization of the cardiac structures. A CMR was then performed to quantify mitral regurgitation and, additionally, it documented a giant hiatus hernia with gastric sliding into the thorax. In this case, CMR helped to better define the severity of a valvular disease and provided ancillary information from the extracardiac findings.

Abstract

Cardiovascular magnetic resonance (CMR) is the gold standard technique to comprehensively assess cardiac structure and function. A 64-year-old male, planned for surgical coronary revascularization, underwent transthoracic and transesophageal echocardiography for a mitral regurgitation, with an eccentric jet of unclear mechanism; these examinations were inconclusive because of the lack of adequate visualization of the cardiac structures. A CMR was then performed to quantify mitral regurgitation and, additionally, it documented a giant hiatus hernia with gastric sliding into the thorax. In this case, CMR helped to better define the severity of a valvular disease and provided ancillary information from the extracardiac findings.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Cardiocentro Ticino
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Cardiac magnetic resonance; extracardiac findings; hiatus hernia; mitral regurgitation quantification
Language:English
Date:29 June 2019
Deposited On:05 Feb 2020 16:36
Last Modified:05 Feb 2020 16:37
Publisher:Wolters Kluwer - Medknow Publications and Media Pvt. Ltd.
ISSN:2211-4122
OA Status:Closed
Publisher DOI:https://doi.org/10.4103/jcecho.jcecho_18_19
PubMed ID:31392127

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