Figure 1.

Kinetic study in four-chamber view: The systolic (A and C) and diastolic (B and D) images of cine sequences, four-chamber view. The steady-state free precession (SSFP) sequence (A and B) shows more artefacts. The patient underwent mitral valve repair with a metallic ring implantation. In SSFP kinetic study, an inflow of dark blood from the left pulmonary veins was seen. It could be caused by S-ICD but also by metallic ring in mitral annulus. The spoiled gradient echo (GRE) sequence (C and D) is better, but an artefact at the lateral wall is obvious.