A rare case of isolated left ventricular non-compaction. Importance of image technology and disease awareness for a

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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

Egidio Mariotti1, Attilio Pierantozzi, Paolo Bocconcelli

  • 1Cardiovascular Division, Emergency Department, Azienda Ospedaliera 'Ospedale San Salvatore', Pesaro, Italy. egmario@tin.it

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|June 28, 2006
PubMed

Insights

A man initially diagnosed with hypertrophic cardiomyopathy was later found to have isolated left ventricular non-compaction. This diagnostic change highlights the impact of advanced echocardiographic imaging on cardiovascular disease diagnosis.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • A 50-year-old male patient presented with sustained monomorphic ventricular tachycardia in 1999.
  • Initial investigations utilized fundamental echocardiographic imaging.

Observation:

  • The initial diagnosis was hypertrophic cardiomyopathy with dilatation and apical thrombus.
  • A subsequent echocardiographic examination in 2003 employed a machine with second harmonic imaging.

Findings:

  • The diagnosis was revised to isolated left ventricular non-compaction.
  • Echocardiography revealed hypertrabeculations in the mid and basal septum (anterior and posterior) and a thin epicardial layer without endocardial thickening.

Implications:

  • Advanced echocardiographic techniques, such as second harmonic imaging, can significantly alter cardiovascular diagnoses.
  • This case underscores the importance of utilizing updated imaging modalities for accurate assessment of cardiac conditions like left ventricular non-compaction.

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