Successful repair of obstructed pulmonary venous confluence by the descending aorta in a 43-year-old patient: pre- and post-operative images.

The heart rate of ven-tricular tachycardia following an old myocardial infarction is inversely related to the size of scarring. resonance-based anatomical analysis of scar-related ventricular tachycardia: implications for catheter ablation. Cardiovascular magnetic resonance by non contrast T1-mapping allows assessment of severity of injury in acute myocardial infarction. Aletras AH et al. Myocardial edema as detected by pre-contrast T1 and T2 CMR delineates area at risk associated with acute myocardial infarction. Relation of left ventricular dyssyn-chrony measured by cardiac magnetic resonance tissue tracking in repaired tetral-ogy of fallot to ventricular tachycardia and death. Impact of pulmonary valve replacement on arrhythmia propensity late after repair of tetralogy of Fallot. Effects of regional dysfunction and late gadolinium enhancement on global right ventricular function and exercise capacity in patients with repaired tetralogy of Fallot. Lock JE et al. Ven-tricular size and function assessed by cardiac MRI predict major adverse clinical outcomes late after tetralogy of Fallot repair.tricular fibrosis suggested by cardiovascular magnetic resonance in adults with repaired tetralogy of fallot and its relationship to adverse markers of clinical outcome. et al. Late gadolinium enhancement cardiovascular magnetic resonance of the sys-temic right ventricle in adults with previous atrial redirection surgery for transposition of the great arteries. A 43-year-old female patient presented with a 3-year history of progressive dyspnoea (NYHA III). She underwent pulmonary artery banding at the age of 6 months followed by ventricular septal defect repair at 6 years and mitral valve repair at the age of 7. On physical examination, the patient was dyspnoeic on mild effort with a soft pansystolic murmur over lower left sternal edge. Transthoracic echocardiography revealed severe tricuspid valve regurgitation and turbulent flow at the site of entrance of the pulmonary veins (PVs) in the left atrium (LA), (Panel A). Contrast-enhanced CT scanning revealed abnormal PV drainage with obstruction at the level of both left-sided PVs and PV confluence connection to the LA (Panels B and C). A small persistent left superior vena cava (LSVC) drained into the LA (Panel D). Surgical correction involved enlargement of the left-sided PV ostium and of the confluence to the LA, ligation of LSVC, and repair of the tricuspid valve. CT scanning 1 month after surgery revealed wide open pulmonary connection to the LA (Panels D and E). The patient was symptom free at the 6-month follow-up. (A) Apical four chambers view of transthoracic the echocardiography showing stenosed common orifice of the PVs …