Key result
Contrast echocardiography allowed the correct diagnosis of isolated left ventricular noncompaction in a young man with heart failure and severe left ventricular dysfunction.
Case Report (n=1)
Contrast echocardiography can be valuable for correctly diagnosing left ventricular noncompaction in patients with heart failure and severe LV dysfunction.
May aid LV noncompaction diagnosis in severe dysfunction; single case leaves open need for prospective validation.
Noncompaction of the left ventricular myocardium is a rare and unclassified cardiomyopathy that remains frequently overlooked, even by experienced echocardiographers. This fact may be due to non-optimal imaging of the lateral and apical myocardium, and/or insufficient disease awareness by echocardiographers. We report a case of a young man with heart failure and severe left ventricular dysfunction, previously diagnosed of ischemic etiology, in which the contrast enhancement of left ventricular endocardium allowed us to reach the correct diagnosis of isolated left ventricular noncompaction.
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Gianfagna et al. (2005) conducted a case report in Noncompaction of the left ventricular myocardium (n=1). Contrast echocardiography was evaluated on Diagnosis of isolated left ventricular noncompaction. Contrast echocardiography allowed the correct diagnosis of isolated left ventricular noncompaction in a young man with heart failure and severe left ventricular dysfunction.
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