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Cardio Case Study

Congenital Cardiac Abnormality

September 15, 2003
Courtesy of:  Gasthuisberg University Hospital, Leuven, Belgium
Dr. Steven Dymarkowski


  • 30 yr. old male with known congenital cardiac abnormality
  • Large ventricle septum defect
  • Pulmonary hypertension with huge pulmonary artery aneurysm
  • Hypo-plastic right ventricle
  • Transposition great arteries
  • Pulmonary valve insufficiency


Congenital Cardiac Abnormality
  • Large VSD (ventricle septum defect)

Click on image to view movie (222 kb, mpg)
Congenital Cardiac Abnormality
  • Large VSD (ventricle septum defect)
  • Pulmonary artery aneurysm
  • Transposition of the great arteries

Click on image to view movie (221 kb, mpg)
Congenital Cardiac Abnormality
  • Pulmonary valve insufficiency
    - High flow jets result in black appearance of regurgent flow
    - Note the clarity of these images showing the flow direction inside the aneurysm.

Click on image to view movie (225 kb, mpg)
Congenital Cardiac Abnormality
  • Pulmonary valve insufficiency
  • Transposition of the great arteries
     - Flow quantification confirms regurgent flow through pulmonary (!) valve.
     - Blue = descending flow
     - Red = ascending flow

Click on image to view movie (184 kb, mpg)
Congenital Cardiac Abnormality
  • Contrast enhanced MR angiography of the pulmonary artery
     - Images rendered on EasyVision give excellent overview of the anatomy and pathology

Click on image to view movie (880 kb, mpg)