22 year old with Ehlers Danlos Syndrome and shortness of breath. Patient referred to evaluate aorta and LV size/ function. Left VentricleThe left ventricle is normal in size and systolic function (LVEF 60-65% qualitatively). There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and systolic functionRight AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal brachiocephalic branching pattern. No evidence of thoracic or abdominal (up to infra-renal aorta) aortic aneurysm or dissection. Aortic dimensions are:Sinus of Valsalva: 27x27x27mmSinotubular Junction: 22x24mmAscending Aorta: 22x23mmMid Aortic Arch: 21x22mmDescending Aorta: 17x17mmPulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium.PericardiumThere is no obvious pericardial disease.Extracardiac FindingsThis study is not designed for the specific evaluation of extra-cardiac findings; therefore, the differentiation between artifacts and real extracardiac pathology may be difficult. If clinically indicated, a separate dedicated evaluation should be considered.
1. No evidence of aortic aneurysm or dissection.2. Normal left ventricular size and systolic function (LVEF 60-65% qualitatively) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.3. Normal right ventricular size and systolic function.Quantification software unavailable. Report to follow with addendum that includes quantitative measurements of left and right ventricle. 