MRI of short axis stack showing severe right ventricular enlargement with severe pulmonary valve regurgitation related to repaired tetralogy of Fallot

Cardiovascular magnetic resonance imaging, Steady State Free Procession (SSFP) sequence of a short axis series showing severe right ventricular enlargement (asterisk) in an adult with severe pulmonary valve regurgitation subsequent to tetralogy of Fallot repair. The indexed right ventricular end-diastolic and end-systolic volumes were 168 and 89 mL/m², respectively. Right ventricular ejection fraction was 47 percent.