Abstract

The Society for Cardiovascular Magnetic Resonance (SCMR) is an international society focused on the research, education, and clinical application of cardiovascular magnetic resonance (CMR). Case of the week is a case series hosted on the SCMR website (https://www.scmr.org) that demonstrates the utility and importance of CMR in the clinical diagnosis and management of cardiovascular disease. Each case consists of the clinical presentation and a discussion of the condition and the role of CMR in diagnosis and guiding clinical management. The cases are all instructive and helpful in the approach to patient management. We present a digital archive of the 2020 Case of the Week series of 11 cases as a means of further enhancing the education of those interested in CMR and as a means of more readily identifying these cases using a PubMed or similar search engine.

Highlights

  • Once again, a huge thank you to our wonderful team of Associate Editors and Reviewers for the Society for Cardiovascular Magnetic Resonance (SCMR) website “Case of the Week” series

  • As a gold standard for right ventricular (RV) assessment, the cardiovascular magnetic resonance (CMR) and magnetic resonance angiography (MRA) study clarified that the patient had a normal RV size, normal RV function and tissue characteristics and revealed two major anomalous venous connections

  • Pulmonary valve papillary fibroelastomas are very rare with few cases reported in the literature [40]

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Summary

Introduction

A huge thank you to our wonderful team of Associate Editors and Reviewers for the Society for Cardiovascular Magnetic Resonance (SCMR) website “Case of the Week” series. The unexpected right heart dilation suggested a Johnson et al J Cardiovasc Magn Reson (2021) 23:108 previously unnoticed atrial level shunt She was referred for surgical closure of a presumed secundum atrial septal defect (ASD). Cine imaging was technically suboptimal due to respiratory and metallic artifacts, but suggested a communication from the left atrium (LA) into the proximal coronary sinus with left to right shunt into the RA, consistent with a large unroofed coronary sinus (Additional files 2, 3: Case 1 Movies 2, 3). Both the RA and RV were qualitatively enlarged. The pulmonary to systemic flow ratio was calculated to be greater than 2:1 by both 2D phase contrast and 4D flow

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