Key result
CMR successfully diagnoses chronic aortic dissection and right atrial schwannoma causing atypical chest pain.
Case Report (n=1)
No
Comprehensive CMR imaging is a highly effective modality for diagnosing complex, unexpected, and life-threatening cardiovascular conditions, particularly when echocardiography is limited by body habitus.
May support targeted CMR use when echocardiography is limited in atypical presentations; leaves open generalizability and need for validation.
A 60-year-old obese woman who had intermediate probability of coronary artery disease presented with atypical chest pain. The obstructive coronary artery disease was suspected. There were non-diagnostic results from basic cardiac investigation and echocardiogram. She was referred to stress cardiovascular magnetic resonance (CMR). CMR is a safe comprehensive imaging modality includes left ventricular function, stress perfusion study and late gadolinium enhancement to identify myocardial ischemia and myocardial infarction. Moreover, the CMR study can provide information of great vessels e.g. aorta and its complication as in this case. The right-sided structures were easily evaluated without body habitus limitation. She was diagnosed chronic aortic dissection and right atrial malignant cardiac tumor which pathologically confirmed cardiac schwannoma. Finally, she got accurately diagnosis which guided prompt surgical management and saved her live.
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Runyawan Chotenimitkhun (2022) conducted a case report in Atypical chest pain, chronic aortic dissection, and cardiac schwannoma (n=1). Cardiovascular magnetic resonance (CMR) was evaluated on Diagnosis of underlying cause of atypical chest pain. Cardiovascular magnetic resonance successfully diagnosed chronic aortic dissection and a right atrial cardiac schwannoma in a 60-year-old woman presenting with atypical chest pain.
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