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Endocardial fibroelastosis

Imaging findings

A contrast-enhanced study reveals clumpy, extensive calcification along the subendocardial margin of the left ventricle in a 30-year-old patient with a history of congenital aortic stenosis repaired in infancy.

Key takeaways

Endocardial fibroelastosis (EFE) is associated with congenital aortic stenosis and can lead to myocardial degeneration, severe late enhancement on MRI, and ultimately progress to extensive clumpy subendocardial calcification.

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