Video 38.7 Apical 4-chamber view in a patient with left ventricular dysfunction secondary to coronary artery aneurysms (with stenosis) following Kawasaki disease
Apical 4-chamber view in a patient with left ventricular dysfunction secondary to coronary artery aneurysms (with stenosis) following Kawasaki disease. Note the global depression in left ventricular systolic performance, with regional hypokinesia, more severe in the interventricular septum when compared with the left ventricular free wall. In addition, there is thinning and increased echogenicity of the septal myocardium, consistent with myocardial fibrosis and scarring due to coronary ischemia in the left anterior descending artery distribution.