Introduction
Case 1: 4D flow CMR to identify and characterize an intracardiac shunt
Clinical history
CMR findings
Conclusion
Perspective
Case 2: Rare aortic arch anomaly identified by CMR in patient with Klippel–Feil syndrome
Clinical history
CMR findings
Conclusion
Perspective
Case 3. Ventricular tachycardia and endocardial fibroelastosis in congenital pulmonic stenosis
Clinical history
CMR findings
Scar imaging
Perspective
Sources of funding
Case 4. It is not arrhythmogenic right ventricular cardiomyopathy!
Clinical history
CMR findings
Conclusion
Perspective
Case 5. A case of subendocardial fat deposition in a patient with eosinophilic granulomatosis with polyangitis
Clinical history
CMR findings
Conclusion
Perspective
Case 6. Tricuspid valve papillary fibroelastoma
Clinical history
CMR findings
Conclusion
Perspective
Case 7. New murmur in a patient with pectus deformity
Clinical history
CMR findings
Conclusion
Perspective
Case 8. Asymmetrical septal hypertrophy in cases with strong family history of hypertrophic cardiomyopathy: it is not always hypertrophic cardiomyopathy
Clinical history
CMR findings
Conclusion
Perspective
Case 9. Acute chest pain with abnormal CMR
Clinical history
CMR findings
Conclusion
Perspective
Case 10. Transient ischemic attack after left ventricular assist device explantation
Clinical history
CMR findings
Sequence | Imaging features |
---|---|
T2 weighted turbo spin echo | Isointense |
Post-contrast high inversion time | Hypointense |
Post-contrast myocardial nulling inversion time | Hyperintense with an etched appearance |
Post-contrast phase sensitive inversion recovery | Hypointense |
Cine steady state free precession | Isointense |
Perfusion imaging | No perfusion |
Conclusion
Perspective
Case 11. CMR evaluation of right atrial mass in an infant with seizure
Clinical history
CMR findings
Conclusion
Perspective
Age | Location | CMR features | Remarks | |
---|---|---|---|---|
Benign | ||||
Rhabdomyoma | < 4 years | Intramyocardial or intracavitary; any chamber | Homogeneous on all sequences; no enhancement | Frequent association with tuberous sclerosis |
Fibroma | Majority < 1 year | Ventricular septum or free wall | Peripheral enhancement; signal void due to calcifications | Associated with Gorlin syndrome |
Teratoma | Children | Pericardial; Usually left atrium if intramyocardial (rare) | Multiloculated mixed solid cystic mass | |
Hemangioma | Any age | Ventricular septum or right atrium; intramural or endocardial | T2 hyperintense with heterogeneous enhancement; hyperintense on perfusion sequence | |
Malignant | ||||
Lymphoma | Older children and adolescents | Right atrium and right ventricle more common | Lobulated enhancing mass | Typically non-Hodgkin lymphoma |
Sarcoma | Young children | Right and left atria more common | Infiltrative irregular mass with heterogeneous enhancement; hemorrhagic pericardial effusion may be present | |
Metastasis | Any age | Right heart | Variable features depending on primary tumor | |
Non-neoplastic | ||||
Thrombus | Depends on underlying etiology | Commonly left ventricle; Right atrium in the presence of central venous catheter | Variable signal depending on age of thrombus; no enhancement (surface enhancement may be present in chronic organized thrombus) | Commonly associated with indwelling central venous catheters, congenital heart disease and Kawasaki’s disease |