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Contrast-Enhanced Cardiovascular Magnetic Resonance Imaging of Right Ventricular Infarction

Andreas Kumar, MD^_*,,1, Hassan Abdel-Aty, MBBCh, MSc^_*,,1, Ilka Kriedemann, Jeanette Schulz-Menger, MD, C. Michael Gross, MD, Rainer Dietz, MD and Matthias G. Friedrich, MD, FESC^_*,,_*

^_* Stephenson CMR Centre at the Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, Alberta, Canada
Franz-Volhard-Klinik, Helios Klinikum Berlin, Kardiologie, Charité Universitätsmedizin Campus Berlin-Buch, Humboldt Universität zu Berlin, Berlin, Germany.

View larger version (98K): [in this window] [in a new window] [Download PPT slide]   Figure 1 Patient with acute inferior and right ventricular (RV) infarction on late enhancement cardiovascular magnetic resonance imaging (LE-CMR). (Upper panels) Short-axis LE-CMR images showing contrast enhancement of the RV wall. (Middle panels, left) Enlarged short-axis view with infarction of the RV wall (black arrowheads) and the inferior left ventricle (white arrows). (Middle panels, right) Electrocardiogram with ST-segment elevation in V4r. (Lower panels) Culprit right coronary artery lesion in a right dominant perfusion pattern before (left) and after (right) angioplasty. Echocardiography revealed RV hypokinesis and dilatation.

View larger version (104K): [in this window] [in a new window] [Download PPT slide]   Figure 2 Patient with acute inferior infarction and right ventricular (RV) involvement on late enhancement cardiovascular magnetic resonance imaging (LE-CMR). (Upper panels) Short-axis LE-CMR images showing contrast enhancement of the RV wall. (Middle panel, left) Enlarged short-axis view with infarction of the RV wall (black arrowheads) and the inferior left ventricle (white arrows). (Middle panels, right) Electrocardiogram showing absence of ST-segment elevation in V4r. (Lower panels) Culprit right coronary artery lesion in a right dominant perfusion pattern before (left) and after (right) angioplasty. The echocardiogram showed no evidence of RV infarction.