Development of dilated cardiomyopathy with a long latent period followed by viral fulminant myocarditis: A case report

Figure 1 Serial chest X-ray images. A: Cardiomegaly and pulmonary edema were observed at the initial presentation; B: Cardiac silhouette of the following image was normalized; C: Overt cardiomegaly and pleural effusion developed, and recurrent dilated cardiomyopathy was finally diagnosed.

Figure 2 Transthoracic echocardiography. A: Baseline echocardiography showed dilated left ventricular (LV) dimension and severely decreased LV ejection fraction (EF); B: Preserved LVEF at one year follow-up; C: The last M-mode image showed dilated LV and low LVEF again. Movies of the serial change of 4-chamber views showed the same findings.

Figure 3 Cardiac magnetic resonance. A and B: Decreased left ventricular systolic function was observed (A: Diastole and B: Systole); C: A T2-weighted image shows diffuse endocardial edema (arrow); D: A T1-delayed image revealed late gadolinium enhancement in the mid-layer of the interventricular septum (arrow).