Key result
Cardiac MRI and transthoracic echocardiography successfully diagnosed left ventricular noncompaction with an end-diastolic noncompacted to compacted ratio of 2.5 in a 38-year-old male.
Case Report (n=1)
Multimodality imaging with transthoracic echocardiography and cardiac MRI is effective for diagnosing and characterizing left ventricular noncompaction in patients presenting with heart failure.
Multimodality imaging may aid LVNC diagnosis in heart failure; hypothesis-generating and leaves open need for prospective validation.
We report a case of a 38-year-old male presenting with new-onset dyspnea, that was diagnosed as left ventricular noncompaction by transthoracic echocardiographic and cardiac MR. The tests revealed left ventricular systolic dysfunction with prominent trabeculations associated with deep intertrabecular recesses and an enddiastolic noncompacted to compacted ratio of 2.5 in the whole apical wall and mid-ventricular anterolateral and inferolateral walls. Delayed gadolinium contrast-enhanced MRI revealed subepicardial mid-wall hyperenhancement of the midventricular anteroseptal and inferoseptal walls, which suggested myocardial fibrosis. We review the pathophysiology, clinical characteristics, and diagnostic approach of the left ventricular noncompaction associated with congestive heart failure.
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Cho et al. (2010) conducted a case report in Left ventricular myocardial noncompaction with congestive heart failure (n=1). Cardiac MRI and Transthoracic Echocardiography was evaluated on Diagnosis of left ventricular noncompaction. Cardiac MRI and transthoracic echocardiography successfully diagnosed left ventricular noncompaction with an end-diastolic noncompacted to compacted ratio of 2.5 in a 38-year-old male.
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