case_images: PMC5448246_01
case_images: (a) Left ventriculography (right anterior oblique view) showing a left ventricular cleft (white arrow) at the basal inferior wall in diastole. (b) Transthoracic echocardiogram (apical 2-chamber view). Left ventricular cleft (white arrow) in the basal inferior wall in diastole. (c) Transthoracic echocardiogram (apical 2-chamber view). More prominent demonstration of left ventricular cleft (white arrow) with contrast echocardiography in diastole. (d) Cardiac magnetic resonance imaging (left ventricular long-axis view). Myocardial cleft (white arrow) in the basal inferior segment
case_images: HV-18-18-g001.jpg
case_images: PMC5448246_01_HV-18-18-g001.jpg
case_images: F1
case_images: In the ventriculography, a finger-shaped image was observed in the inferior basal segment with contrast penetration [Figures 1a and 2a]. A myocardial protrusion was identified in the mid-inferior wall [Figure 1b], corresponding with the ventriculography findings. It was better characterized after Sonovue   echocardiographic contrast [Figures 1c and 2b], and it was consistent with myocardial cleft. Cardiac magnetic resonance imaging (CMRI) confirmed the diagnosis [Figures 1d and 2c], showing that the cleft was contained by a normally contracting well-perfused myocardium.
case_images: Left ventricular cleft narrowed in systole in (a) left ventriculography (right anterior oblique view). (b) Transthoracic echocardiogram (apical 2-chamber view) with contrast. (c) Cardiac magnetic resonance imaging (left ventricular long-axis view)
case_images: HV-18-18-g002.jpg
case_images: PMC5448246_01_HV-18-18-g002.jpg
case_images: F2
case_images: In the ventriculography, a finger-shaped image was observed in the inferior basal segment with contrast penetration [Figures 1a and 2a]. It was better characterized after Sonovue   echocardiographic contrast [Figures 1c and 2b], and it was consistent with myocardial cleft. Cardiac magnetic resonance imaging (CMRI) confirmed the diagnosis [Figures 1d and 2c], showing that the cleft was contained by a normally contracting well-perfused myocardium.