case_images: PMC11789106_01
case_images: (a) Transabdominal pelvic ultrasound. (b) Cardiac magnetic resonance imaging. (c and d) Coronary angiography images. (e) Large vessel computed tomography scan results.
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case_images: She had a hypoplastic uterus (2.7 x 2.0 x 1.1 cm); abdominal pelvic ultrasound failed to detect endometrium or bilateral ovaries (Figure 1(a)). Cardiac magnetic resonance imaging revealed an enlarged left ventricle (62 mm) and reduced ejection fraction (19%), indicating an old myocardial infarction; her aortic size index was 2.34 cm/m2 (Figure 1(b)). Coronary angiography showed 80%-90% stenosis at the end of the left main artery, anterior descending artery, circumflex artery, and right coronary artery with complete occlusion after the second inflection point in the distal segment, and no congenital coronary anomalies (Figure 1(c) and (d)); her SYNTAX score was 47.   Large vessel computed tomography revealed reflux from the left upper pulmonary vein into the right atrium (Figure 1(e)).
case_images: Chromosome karyotype report of peripheral blood metaphase cells.
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case_images: The final report showed a 45,X karyotype according to ISCN2020 (Figure 2).