CASE REPORT |
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Year : 2019 | Volume
: 29
| Issue : 2 | Page : 82-85 |
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“where is the heart?” When cardiac magnetic resonance imaging helps if echocardiography is inconclusive
Alessandro Caretta1, Laura Anna Leo2, Vera Lucia Paiocchi2, Lorenzo Grazioli Gauthier2, Francesco Fulvio Faletra2, Tiziano Moccetti2
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
 Source of Support: None, Conflict of Interest: None  | Check |
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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