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Archives of cardiovascular diseases
Volume 103, n° 11-12
pages 629-630 (novembre 2010)
Doi : 10.1016/j.acvd.2010.03.008
Received : 2 Mars 2010 ;  accepted : 3 Mars 2010
Biventricular dysplasia presenting as an acute coronary syndrome
Dysplasie biventriculaire se présentant comme un syndrome coronaire aigu
 

Figure 1




Figure 1 : 

A. Electrocardiogram on admission showing diffuse ST-segment depression in the anterior leads. B. Coronary angiography showing left anterior descending coronary artery stenosis (arrow). Left ventricular (LV) angiography at end-diastole and end-systole with marked hypokinesis in the anterior wall (arrows). C. Sustained ventricular tachycardia. D. Steady-state free precession cine magnetic resonance imaging (cine-MRI) at end-diastole and end-systole in the four-chamber view, demonstrating dilated and severely hypokinetic left and right ventricles, along with unusual areas of hyposignal within the LV myocardium suggestive of intra-myocardial fat (arrows). Cine-MRI of right heart chambers showing outward systolic wall motion of the right ventricular (RV) outflow tract. E. Black-blood T1-weighted cardiac magnetic resonance imaging (CMRI) showing hypersignal indicative of intramyocardial fat (arrows). Corresponding areas of myocardial fibrosis on late-enhanced-CMRI acquired 10min after gadolinium injection (0.1mM) (arrows). Note the presence of myocardial late enhancement (fibrosis) in the RV outflow tract. RA: right atrium; RV: right ventricle; PA: pulmonary artery.

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