28 year old male with history of aortic coarctation repair at age 6, MRI done for evaluation of aorta and aortic valve Left VentricleThe left ventricle is normal size with normal systolic function. The overall LV ejection fraction is 67%. The LVEDV is 135 ml (normal range 142+/-34), the LV end diastolic volume index is 61 ml/m2 (normal range: 74+/-15), the LVESV is 45 ml (normal range 47+/-19) and the LV end systolic volume index is 20 ml/m2 (normal range 25+/-9). The LV mass is 116 g (normal range 164+/-36) and the LV mass index is 52 g/m2 (normal range 85+/-15). There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. There is a restrictive outlet VSD.Left AtriumThe left atrium is normal in size. PFO noted on first pass imaging.Right VentricleThe right ventricle is normal size with normal systolic function. The overall RV ejection fraction is 61%. The RVEDV is 152 ml (normal range 142+/-31), RV end diastolic volume index is 69 ml/m2 (normal range 82+/-16), the RVESV is 59 ml (normal range 54+/-17), and the RV end systolic volume index is 27 ml/m2 (normal range 31+/-9).Right AtriumThe right atrium is normal size.Aortic ValveThe aortic valve is trileaflet, opens widely and there is at least mild eccentric AI. 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. The aortic root is normal in size. Site of coarctation repair is visualized on cine images. Stroke volume pre-coarctation = 48 mL; stroke volume post coarctation = 46 mL. No evidence of collateral blood flow.Ao sinus of Valsalva 35 x 36 x 35 mmAo sinotubular junction 26 x 28 mmAscending aorta 26 x 25 mmPre-coarctation repair site 17 x 16 mmAt coarctation repair site 15 x 16 mmPost coarctation repair 16 x 18 mmPulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC 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. The left ventricle is normal size with normal systolic function. The overall LV ejection fraction is 67%. 2. There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. 3. There is a restrictive outlet VSD.4. The right ventricle is normal size with normal systolic function. The overall RV ejection fraction is 61%.5. PFO noted on first pass imaging.6. The aortic valve is trileaflet, opens widely and there is at least mild eccentric AI.7. Coarctation repair is seen on cine images. Aortic measurements as documented above. No pre-coarctation aneurysmal dilatation appreciated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.