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Updated: Aug 16, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
06:34

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography

Published on: October 28, 2020

Live three-dimensional transthoracic echocardiographic assessment of ventricular noncompaction

Kunal Bodiwala1, Andrew P Miller, Navin C Nanda

  • 1Division of Cardiovascular Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Echocardiography (Mount Kisco, N.Y.)
|August 3, 2005
PubMed

Insights

Three-dimensional transthoracic echocardiography (3D TTE) aids in diagnosing left ventricular noncompaction, especially when two-dimensional TTE is inconclusive. This advanced imaging reveals detailed myocardial structures for accurate assessment.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Left ventricular noncompaction is a rare congenital heart defect.
  • Accurate diagnosis is crucial for patient management and prognosis.

Purpose of the Study:

  • To evaluate the utility of live three-dimensional transthoracic echocardiography (3D TTE) in diagnosing noncompaction.
  • To compare 3D TTE findings with two-dimensional TTE (2D TTE) in patients with noncompaction.

Main Methods:

  • Case series of eight adult patients with noncompaction.
  • Utilized live 3D TTE to visualize myocardial trabeculations and intertrabecular recesses.
  • Compared 3D TTE findings with prior 2D TTE diagnoses.

Main Results:

  • 3D TTE revealed prominent trabeculations, deep recesses, and a honeycombing appearance in all eight patients.
  • Extensive right ventricular trabeculations were noted in combined left and right ventricular noncompaction cases.
  • 3D TTE enabled diagnosis in five patients initially missed by 2D TTE.

Conclusions:

  • Live 3D TTE is a valuable tool for diagnosing noncompaction, particularly when 2D TTE is insufficient.
  • 3D TTE provides superior visualization of myocardial architecture compared to 2D TTE.
  • This technique can improve diagnostic accuracy for noncompaction.

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