Giant Cell Myocarditis: Not Always a Presentation of Cardiogenic Shock

Figure 2

Cardiac magnetic resonance image (four-chamber view). (a) Presentation: patchy areas of late gadolinium enhancement (LGE) were detected transmurally in the mid lateral left ventricular (LV) wall and in the midwall with extension to the subepicardial in lateral and anterior LV walls near the base consistent with diffuse inflammation in a noncoronary distribution (arrows). (b) 6 weeks after presentation: markedly reduced LGE (arrows) consistent with improvement in inflammation without significant residual fibrosis. LV: left ventricle, RV: right ventricle, LA: left atrium, and RA: right atrium.

(a)

(b)