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Unusual Cause of Mid Myocardial Late Gadolinium Enhancement at Cardiac MRI. | LitMetric

Unusual Cause of Mid Myocardial Late Gadolinium Enhancement at Cardiac MRI.

Radiol Cardiothorac Imaging

From the Department of Radiology, Narayana Institute of Cardiac Sciences, Bangalore 560099, India (S.G., V.R.); and Department of Radiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, India (R.R.).

Published: February 2025

AI Article Synopsis

  • Cardiac MRI is the best method for detecting and assessing heart muscle conditions, with late gadolinium enhancement helping in patient classification and management.
  • Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect that can show myocardial enhancement on MRI.
  • This report discusses unusual mid myocardial late gadolinium enhancement found in three adult patients with ALCAPA, differing from typical enhancement patterns.

Article Abstract

Cardiac MRI is the reference standard for identifying and evaluating myocardial pathologic conditions. Late gadolinium enhancement characteristics provide an excellent guide in classifying disease and triaging patients. Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon congenital anomaly. Myocardial enhancement at cardiac MRI is often a sign of a myocardial pathologic condition, while more specifically, subendocardial enhancement is a feature expected in patients with ALCAPA. This report describes the atypical finding of mid myocardial late gadolinium enhancement in three adult patients with ALCAPA. Mid Myocardial Enhancement, Cardiac MRI, Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery © RSNA, 2025.

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Source
http://dx.doi.org/10.1148/ryct.240012DOI Listing

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