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Ultrasonic Assessment of Myocardial Microstructure
10:53

Ultrasonic Assessment of Myocardial Microstructure

Published on: January 14, 2014

Noncompacted ventricular myocardium: characterization by intracardiac echo

Sabina Ficili1, Claudio Pandozi, Marco Galeazzi

  • 1Department of Cardiology, San Filippo Neri Hospital, Rome, Italy. sabinaficili@yahoo.it

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|September 22, 2010
PubMed

Insights

Intracardiac echocardiography accurately diagnosed ventricular noncompaction, a heart muscle condition, in a patient with arrhythmias. This high-resolution imaging revealed key details missed by other methods.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Echocardiography

Background:

  • Ventricular noncompaction is a rare congenital heart defect.
  • Arrhythmias can be a clinical manifestation of noncompaction.
  • Diagnostic challenges exist for identifying ventricular noncompaction.

Observation:

  • A patient presented with clinical symptoms of arrhythmias.
  • Evidence of noncompaction was observed in both left and right ventricular apex.
  • Intracardiac echo was performed during an electrophysiologic study.

Findings:

  • Intracardiac echocardiography provided high-resolution imaging for diagnosis.
  • Color Doppler identified trabecular recesses communicating with the ventricular cavity.
  • These findings were not identifiable with transthoracic echocardiography.

Implications:

  • Intracardiac echocardiography is a valuable tool for diagnosing ventricular noncompaction.
  • This technique offers superior resolution compared to transthoracic echocardiography.
  • Accurate diagnosis can guide management of arrhythmias associated with noncompaction.

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