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Fig. 3 | Insights into Imaging

Fig. 3

From: Magnetic resonance imaging of abnormal ventricular septal motion in heart diseases: a pictorial review

Fig. 3

A 38-year-old woman with symptoms of right heart failure. a Sagittal steady-state free precession cine MR image revealing direct communication (arrowhead) between the superior vena cava (asterisk) and the left atrium (LA), consistent with a sinus venous defect and an enlarged pulmonary trunk (arrow). The ratio between pulmonary and systemic flow (Qp/Qs) was 2.1 (not shown). b and c Coronal and oblique coronal maximum-intensity-projection images showing communication between the superior vena cava (asterisk) and the left atrium (arrowhead) and abnormal drainage of the right upper lobe pulmonary veins (arrow) to the superior vena cava (asterisk). d Short-axis steady-state free precession cine MR image obtained at systole revealing an enlarged right ventricle and leftward bowing of the ventricular septum (arrows)

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