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. 2016 Aug 16;9(8):e005030. doi: 10.1161/CIRCIMAGING.116.005030

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© 2016 The Authors.

Circ Cardiovasc Imaging is published on behalf of the American Heart Association, Inc., by Wolters Kluwer. This is an open access article under the terms of the Creative Commons Attribution Non-Commercial-NoDervis License, which permits use, distribution, and reproduction in any medium, provided that the original work is properly cited, the use is noncommercial, and no modifications or adaptations are made.

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Figure 2. — Representative case of arrhythmic mitral valve prolapse with mitral annular disjunction, curling, and late gadolinium enhancement (LGE). A 36-y-old woman with mitral valve prolapse and complex ventricular arrhythmias. On cine cardiac magnetic resonance (CMR) 3-chamber, long-axis view (diastolic frame A, systolic frame B), a mitral annulus disjunction is detectable; on contrast-enhanced CMR, a midmural LGE in the LV inferobasal region under posterior valve leaflet is visible (C). The 12-lead ECG (D) shows a negative T wave in III-aVF. Nonsustained ventricular tachycardia with right bundle branch block morphology originating from the LV inferobasal wall near the mitral annulus is also recorded in the 24-h Holter ECG (E).