case_images: PMC10655750_01
case_images: Echocardiography left ventricle (LV) 4-chamber view shows mildly enlarged LV size with apical and septal regional wall motion abnormalities; see also at https://youtu.be/y6DVTtyomQc.. Steady-state free precession cine cardiac magnetic resonance imaging shows normal left ventricle size and systolic function with mild regional wall motion abnormalities in the apical/apical septal segments; https://youtu.be/gD6p9J_3euU.
case_images: .jpg
case_images: PMC10655750_01_.jpg
case_images: d64e140
case_images: A transthoracic echocardiogram (Video 1) showed new apical and septal RWMA with a reduced ejection fraction (EF 55%).Hybrid cardiac positron emission tomography (PET)/CT was ordered to rule out ischemia (Figure 1A), and it revealed a medium-sized 22% fixed perfusion defect in the apex and apical segments. CT angiography (CCTA) confirmed the absence of obstructive coronary artery disease (Figure 1B). Cardiac magnetic resonance (CMR) imaging was subsequently performed. CMR cine steady-state free precession sequence (Video 2) and late gadolinium enhancement study (Figure 1C) showed normal left ventricle size and systolic function (EF 64%) but with RWMA in the apical and apical/septal segments, indicative of recovering cardiomyopathy given the absence of myocardial scarring and presence of edema.