banner

Cardiac Case Study

Intera CV IHSS (Idiopathic Hypertrophic Subaortic Stenosis)

Courtesy of:  CMRL, Barnes-Jewish Hospital, St. Louis, USA
January 28, 2004


  • Patient history
     - male, 35 years of age, weight 136 kg (300 lbs), height 191 cm (6 ft 3 in)
     - with murmur present
     - calcium channel blocker Rx
     - no known family history of heart disease
     - assess valvular function with CMR imaging
  • Product info
     - 1.5T CardioVascular system
     - Sense cardiac coil and VCG


BTFE SENSE

 
Intera CV Case Study
15 sec BH, 30 ph
Retrospectively triggered
Click on image to view movie
 


  • Normal LV, RV function. Systolic anterior motion of mitral valve. Basal septal hypertrophy consistent with HOCM. LVH. LA enlargement. Moderate MR.
  • Systolic anterior motion (SAM) of Tricuspid and Mitral valves is common finding by ECHO of IHSS pts. It is has not been demonstrated by CMR on many cases.
  • Some say HOCM and IHSS are basically explaining the same cardiac finding


Flow Sense 2

 
Intera CV Case StudyIntera CV Case Study
14 sec BH, 30 ph
Venc 250
MR with Systolic Anterior Motion (SAM)
Click on image to view movie
Color coded flow information by ViewForum’s Qflow package
Click on image to view movie
 


Conclusions

  • IHSS, Idiopathic Hypertrophic Sub aortic Stenosis
  • Philips MR– Sense and retrospective trigger make Hi res breath-hold Functional and Quantitative flow imaging possible
  • VCG, triggering for a fast and easy cardiac exam
    ViewForum Qflow package, for accurate color coded flow information