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CASE REPORT
Year : 2019  |  Volume : 29  |  Issue : 2  |  Page : 82-85

“where is the heart?” When cardiac magnetic resonance imaging helps if echocardiography is inconclusive


1 Fondazione Cardiocentro Ticino, Lugano, Switzerland; University of Milan, Milan, Italy
2 Fondazione Cardiocentro Ticino, Lugano, Switzerland

Correspondence Address:
Alessandro Caretta
Via Raffaello Sanzio 6, 20149 Milano, Milan

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_18_19

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Cardiovascular magnetic resonance (CMR) is the gold standard technique to comprehensively assess cardiac structure and function. A 64-year-old male, planned for surgical coronary revascularization, underwent transthoracic and transesophageal echocardiography for a mitral regurgitation, with an eccentric jet of unclear mechanism; these examinations were inconclusive because of the lack of adequate visualization of the cardiac structures. A CMR was then performed to quantify mitral regurgitation and, additionally, it documented a giant hiatus hernia with gastric sliding into the thorax. In this case, CMR helped to better define the severity of a valvular disease and provided ancillary information from the extracardiac findings.


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