Caretta Alessandro, Leo Laura Anna, Paiocchi Vera Lucia, Gauthier Lorenzo Grazioli, Faletra Francesco Fulvio, Moccetti Tiziano
Fondazione Cardiocentro Ticino, Lugano, Switzerland.
University of Milan, Milan, Italy.
J Cardiovasc Echogr. 2019 Apr-Jun;29(2):82-85. doi: 10.4103/jcecho.jcecho_18_19.
Cardiovascular magnetic resonance (CMR) is the gold standard technique to comprehensively assess cardiac structure and function. A 64-year-old male, planned for surgical coronary revascularization, underwent transthoracic and transesophageal echocardiography for a mitral regurgitation, with an eccentric jet of unclear mechanism; these examinations were inconclusive because of the lack of adequate visualization of the cardiac structures. A CMR was then performed to quantify mitral regurgitation and, additionally, it documented a giant hiatus hernia with gastric sliding into the thorax. In this case, CMR helped to better define the severity of a valvular disease and provided ancillary information from the extracardiac findings.
心血管磁共振成像（CMR）是全面评估心脏结构和功能的金标准技术。一名64岁男性计划接受外科冠状动脉血运重建术，因二尖瓣反流接受经胸和经食管超声心动图检查，反流束偏心，机制不明；由于心脏结构显示不充分，这些检查结果不明确。随后进行了CMR以量化二尖瓣反流，此外，还发现了巨大食管裂孔疝伴胃滑入胸腔。在此病例中，CMR有助于更好地界定瓣膜疾病的严重程度，并提供了心外检查结果的辅助信息。
