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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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