CTICasesRight Ventricular Insertion Point LGE in Athletes
Cite this case
[...]. Right Ventricular Insertion Point LGE in Athletes. CTICases. Published October 8, 2021. https://cticases.com/c/3d7k3
Imaging findings
Cardiac MRI shows focal late gadolinium enhancement (LGE) localized to the inferior right ventricular insertion point into the interventricular septum, in an asymptomatic high-endurance marathon runner.
Key takeaways
Focal LGE at the RV insertion points (particularly the inferior insertion) is a well-described, benign finding in endurance athletes. It represents mechanical stress and focal myocardial remodeling at the hinge points of the ventricles, rather than true ischemic or pathologic cardiomyopathy.
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