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MRI diagnosis of a previously undiagnosed large trabecular ventricular septal defect in an adult after multiple catheterizations and angiocardiograms

N I Stauder, MD1, S Miller, MD1, A M Scheule, MD2, G Ziemer, MD2 and C D Claussen, MD1

1 Departments of Diagnostic Radiology
2 Thoracic, Heart and Vascular Surgery, University of Tuebingen, Hoppe-Seyler-Str. 3, 72076 Tuebingen, Germany



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  		Figure 1. (a) 9-fold k-space segmented FLASH 2D cine MRI of the heart in four chamber view: an atrial septal defect of secundum type is demonstrated in the area of the atrial septal wall (arrow). (b) FLASH 2D cine MRI of the heart, short axis view: perimembraneous ventricular septal defect (VSD) (arrow). (c) FLASH 2D cine MRI of the heart in four chamber view: a trabecular VSD can be seen in the apical part of the ventricular septum (arrow).

 


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  		Figure 2. Post-operative cine MRI of the heart in four chamber view: closure of the apical ventricular septal defect with Dacron patch (arrow).

 




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