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Published on: February 20, 2017
[Spongy cardiomyopathy in an elderly woman. Echocardiographic description]
Jesús Canale1, Jorge Cortés Lawrenz, Francisco Germán Moreno Valenzuela
1Escuela de Medicina de la Universidad de Sonora y Servicio de Cardiología del Hospital General del Estado de Sonora. jcanale@infosel.net.mx
Insights
Isolated left ventricular noncompaction, a congenital heart disease, is rarely diagnosed in the elderly. This report details a 75-year-old woman with spongy cardiomyopathy, highlighting a rare late-life diagnosis.
Area of Science:
- Cardiology
- Genetics
- Developmental Biology
Background:
- Isolated left ventricular noncompaction (ILVNC) is a congenital cardiomyopathy.
- It results from impaired embryonic development of the left ventricular myocardium.
- Characterized by prominent trabeculations and deep recesses, leading to heart failure, arrhythmias, and embolic events.
Observation:
- This case report focuses on a 75-year-old female patient.
- The patient presented with clinical and echocardiographic findings typical of ILVNC.
- This represents one of the oldest reported cases of this condition.
Findings:
- The patient's presentation at an advanced age is unusual for ILVNC.
- Echocardiographic findings confirmed the diagnosis of spongy cardiomyopathy.
- The case contributes to the limited literature on elderly patients with ILVNC.
Implications:
- This case expands the known age spectrum for ILVNC diagnosis.
- It underscores the importance of considering ILVNC in elderly patients presenting with heart failure or arrhythmias.
- Further research is needed to understand the long-term prognosis and management of ILVNC in older populations.
Abstract:
Isolated left ventricular noncompaction, also known as spongy myocardium or spongy cardiomyopathy, is a recently described congenital disease caused by an arrest in the left ventricular myocardial embriogenesis that makes the ventricular wall to persist thickened with multiple trabecular formations and deep sinusoidal recesses. It is clinically characterized by heart failure, cardiac arrhythmia and systemic embolic events. Most of the affected subjects are detected during childhood or adolescence, others in the adult life but very few elderly patients have been reported in the worldwide medical literature. We here report the case of a 75-year-old woman that is one of the oldest patients ever reported, whose clinical picture and echocardiographic findings are typical of this modality of cardiomyopathy. We do comments on this case in regard to the most relevant facts that appear in the limited medical literature about this interesting disease.
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