Fig. 5

Small “hollow punch” left ventricular (LV) aneurysm in a 60 years-old female who developed atrial flutter 8.6 years after the CMR examination. A narrow neck aneurysm is depicted in diastole (a) and systole (b) in a four-chamber cine-steady state free precession pulse sequence. A small amount of late gadolinium enhancement at the LV apex can be seen (c). Baseline LVEF was 70%