Cardiovascular magnetic resonance: Diagnostic utility and specific considerations in the pediatric population

Figure 3 A 10-year-old girl with tetralogy of Fallot repaired at 1 year of age. She had a 1 year history of increasing exertional breathlessness and reduced exercise capacity. Her CMR showed near-free pulmonary regurgitation with a dilated right ventricle and a reduced right ventricular ejection fraction. In view of these findings, she was offered a pulmonary valve replacement. A shows a 4 chamber SSFP cine image; B a short axis through the mid ventricle; C a right ventricular outflow tract view and D a transverse section through the thorax at main pulmonary artery level showing the dilated main pulmonary artery. RV: Right ventricle; LV: Left ventricle; MPA: Main pulmonary artery; SSFP: Steady state free precession; CMR: Cardiovascular magnetic resonance.