Case 4

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Amyloidosis with severe cardiac involvement
Case description: This patient had amyloidosis with severe cardiac involvement
Courtesy of: J. Vleugels, AMC, The Netherlands

PLAX showing concentric left ventricular hypertrophy	PSAX shows severe concentric left and right ventricular hypertrophy, thickened mitral leaflets & pericardial effusion
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PSAX through aortic valve which has thickened leaflets as well	A4CH showing severe left and right ventricular hypertrophy
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Subcostal long axis showing pericardial effusion	Mitral valve inflow E<A a sign of diastolic dysfunction
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