Author + information
- Timothy A. Fairbairn, MBChB⁎ (, )
- Manish Motwani, MBChB,
- John P. Greenwood, PhD and
- Sven Plein, PhD
- ↵⁎Address for Correspondence:
Dr. Sven Plein, Division of Cardiovascular and Neuronal Remodelling, University of Leeds, G-floor, Jubilee Wing, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, United Kingdom
Right heart disease can present a clinical diagnostic conundrum as a number of pathologies can present with a variety of often nonspecific symptoms. Transthoracic echocardiography (TTE) remains the main noninvasive diagnostic imaging test for right heart disease, yet it has several limitations. Visualization of the right ventricular (RV) free wall and its trabeculations by TTE can be difficult, with no accurate method of quantifying RV volumes and function. Cardiac magnetic resonance (CMR) allows more reliable assessment of the right heart because of its unrestricted field of view and free and reproducible imaging planes. Therefore, CMR is considered the reference standard for the calculation of right heart volumes, mass, and function. In addition, the multiparametric properties of CMR allow for tissue characterization to aid the differential diagnosis of right heart pathologies, as demonstrated in this case series (Figs. 1, 2, 3, 4, 5, and 6)⇓⇓⇓⇓⇓.
For supplementary videos and their legends, please see the online version of this article.
Dr. Plein has received a research grant from Philips Healthcare. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- American College of Cardiology Foundation