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Updated: Jun 25, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
A case with noncompaction of the left ventricular myocardium detected by 64-slice multidetector computed tomography
1Department of Medicine, Division of Cardiology, Loyola University Medical Center, Maywood, IL 60153, USA. itohiroki@gmail.com
Insights
This study presents a young patient with apical noncompaction, a rare heart condition, detected using multidetector computed tomography. The case highlights multiple imaging techniques for diagnosing this left ventricular cardiomyopathy.
Area of Science:
- Cardiology
- Medical Imaging
- Genetics
Background:
- Left ventricular noncompaction is a rare genetic cardiomyopathy.
- Diagnosis typically relies on echocardiography or left ventriculography.
- Advanced imaging like cardiac MRI and CT are emerging diagnostic tools.
Observation:
- A young patient presented with premature coronary artery disease.
- Apical noncompaction was identified using multidetector computed tomography.
- The ventricular pathology was visualized across four distinct imaging modalities.
Findings:
- Multidetector computed tomography effectively detected apical noncompaction in a young patient.
- The case demonstrates the utility of multiple imaging modalities in characterizing noncompaction.
- Coronary artery disease was a co-occurring condition in this patient.
Implications:
- This case expands the understanding of noncompaction diagnosis.
- It underscores the role of advanced CT imaging in identifying rare cardiomyopathies.
- Further research into the co-occurrence of noncompaction and coronary artery disease is warranted.
Abstract:
Noncompaction is a rare, primary genetic cardiomyopathy affecting the left ventricle. The diagnosis is usually established by echocardiography, and less frequently by left ventriculography. Cardiac magnetic resonance and electrocardiography-gated multidetector computed tomography are evolving noninvasive modalities to image cardiac structures, and their utility to detect noncompacted myocardium was reported in a few cases. We report the case of a young patient with premature coronary artery disease and apical noncompaction detected by multidetector computed tomography, and show images of the ventricular pathology on 4 different imaging modalities.
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