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British Journal of Radiology (2006) 79, e200-e204
© 2006 British Institute of Radiology
doi: 10.1259/bjr/53601277
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Comprehensive multidetector CT assessment of apical hypertrophic cardiomyopathy

E Ghersin, MD 1 J Lessick, MD 2 D Litmanovich, MD 1 A Engel, MD 1 and S Reisner, MD 2

Departments of 1 Diagnostic Imaging and 2 Cardiology, Rambam Medical Center, Haifa, Israel


Figure 1
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  		Figure 1. (a) Curved multiplanar reformat of the left main and left anterior descending artery (LAD) depict a small non-significant calcified plaque in the proximal LAD (white arrow), and an elongated segment of myocardial bridging affecting the proximal and mid segments of the LAD (black arrow). (b) Curved multiplanar reformat of the left main proximal LAD and first diagonal arteries shows a small non-significant calcified plaque in the proximal LAD (white arrow), an elongated segment of myocardial bridging affecting the proximal and mid segments of the LAD (black arrow) and myocardial bridging of the origin and very proximal portion of the first diagonal artery (arrowhead). (c) Cross sectional reformat of the proximal LAD calcified plaque perpendicular to the long axis of the artery clearly demonstrates a relatively wide patent lumen (+) adjacent to an eccentric small calcified plaque (*), indicating its non-significance.

 

Figure 2
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  		Figure 2. (a) Volume rendering reformat and (b) "Globe view" presentation of the left coronary tree demonstrate the left anterior descending artery (LAD) and first diagonal myocardial bridging (*) in (a) and the non-significant calcified plaque in the proximal LAD (arrowhead) in (b).

 

Figure 3
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  		Figure 3. (a,b) Vertical short axis slabs of cardiac ventricles during (a) end diastole and (b) peak systole and (c,d) vertical long axis slabs of cardiac ventricles during (c) end diastole and (d) peak systole. Note the profound apical wall thickening (white *) with systolic obliteration of the apical cavity (black *) on (a,b), and the classic spade shaped ventricular cavity during systole (black *) on (d).

 




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