Case Report

A Rare Case of Hypertrophic Cardiomyopathy with Subendocardial Late Gadolinium Enhancement in an Apical Aneurysm with Thrombus

Figure 3

The long-axis view (a), four-chamber view (b), and short axis view (c) of cardiac magnetic resonance imaging revealed a thin-walled apical aneurysm, with subendocardial late gadolinium enhancement (LGE) in an extensive area of the mid-to-apex region of the left ventricle and in a smaller area of the right ventricle (small arrows). LGE involved the majority of the basal lateral wall. Smaller midmyocardial LGE located in the basal interventricular septum, the wall of which was markedly thickened, was also observed. Scanner type: 3D-FFE, matrix scan: 224, flip angle: 15 degrees, and bandwidth: 324.7 Hz. The repetition time, echo time, and inversion time were (a) 3.910, 1.219, and 280 m/s, (b) 4.005, 1.250, and 290 m/s, and (c) 4.078, 1.272, and 300 m/s, respectively.
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(a)
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(b)
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(c)