Extracorporeal Cardiopulmonary Resuscitation for Management of Out-of-Hospital Cardiac Arrest in a Patient with Fulminant Myocarditis

Figure 3

Cardiac magnetic resonance imaging of parasternal short axis. (a) T2-weighted images demonstrating extensive myocardial T2 elevation (arrow) of the left ventricle (LV) consistent with myocardial edema. (b) Extensive LV patchy, epicardial pattern of injury by late gadolinium enhancement (arrow) consistent with cellular membrane injury; there was no infarct scar seen. There was severe LV systolic dysfunction with an ejection fraction of 25%. These findings are consistent with a diagnosis of acute myocarditis.

(a)

(b)