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Figure 4 | Journal of Cardiovascular Magnetic Resonance

Figure 4

From: Cardiac involvement in patients with Becker muscular dystrophy: new diagnostic and pathophysiological insights by a CMR approach

Figure 4

LGE short-axis image of patient no. 4 (A) with a subepicardial pattern of myocardial damage in the inferolateral wall highly resembling the myocardial damage pattern observed in patients with viral myocarditis (D). Exemplary macroscopic image of a different patient with muscular dystrophy (type Duchenne; B) and another different patient with chronic myocarditis (E) demonstrating the similarities in the pattern of myocardial damage: note the diffuse subepicardial fibrosis along the posterolateral LV free walls, with almost preserved wall thickness. Corresponding full thickness histologic slides (C and F): the extensive fibrous tissue replacement is typically confined to the outer-mid subepicardial layer of the LV free wall.

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