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Image of the Month: Apical Aneurysm with Thrombus

Image presented by the Working Group on Myocardial and Pericardial Diseases



Presented byMichael Arad, Leviev Heart Center, Sheba Medical Center, Tel Hashomer and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

CMR images of a 33 years old male with history of apical hypertrophic cardiomyopathy showing apical aneurysm formation (A) and mid-ventricular obstruction during systole (B). The images after delayed gadolinium enhancement (C, D) show extensive scarring and apical thrombus (star). A typical ECG (E) shows deep inverted T waves, and progressive decapitation of R waves in the precordial leads, in association with development of an intraventricular conduction defect.

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The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.

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