We report the case of an obese 61-old man without cardiac disease history presented with exertional dyspnea. Transthoracic echocardiography could barely visualize the heart because of severely insufficient acoustic windows. After an intravenous bolus of ultrasonographic contrast media, contrast echocardiography revealed a surprising left ventricle a “heart shape,” the way the heart is represented in children’s iconography. Cardiac magnetic resonance showed a thrombus at the bottom of the aneurysm, which was not detectable by echocardiography. The advantage of cardiac magnetic resonance imaging is its capability to obtain high-quality images using infinite spatial planes, independently of acoustic windows, which limit echocardiographic views to a few standard planes.
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