This is a 20-years old man with Tetralogy of Fallot (TOF), who was operated at the age of 1 year. He presented two months ago with edema feet and an echo showed pulmonary stenosis. The CMR was performed to better assess the pulmonary artery and the RV function.
The CMR showed extremely poor RV function with areas of thinning and abnormal delayed hyperenhancement, suggesting fibrosis (Figs. 1, 2 - cine file). He had severe, eccentric pulmonary stenosis with a peak velocity of 5.2 metres/sec (cine file).
CMR in the post-op TOF setting is an excellent tool for evaluating the pulmonary arteries, conduits etc and most important, RV function.
He was re-operated and the RV function improved significantly as described in a later post in June 2006.
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