|Number 08-21: Myocardial scarring from 2 distinct pathologies|
Number 08-21: Myocardial scarring from 2 distinct pathologies
Case from: Theodoros D. Karamitsos, Cameron J. Holloway and Stefan Neubauer. University of Oxford Centre for Clinical Magnetic Resonance Research, John Radcliffe Hospital, Oxford, UK
History: Asymptomatic 62 yr ?. Diagnosed with HCM more than 20 with an abnormal ECG. Recent echo demonstrated concentric LVH. CMR to further assess this.
Interpretation: Two distinct pathologies appear to coexist; the significant asymmetric septal hypertrophy, increased left ventricular mass and patchy mid-wall fibrosis on late gadolinium enhancement are all typical features of hypertrophic cardiomyopathy. The anterior and apical wall motion abnormalities and late enhancement are likely to be due to previous myocardial infarction.