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Published on: July 18, 2014
[Ventricular non-compaction associated to a complex congenital heart disease]
Mirna Yabur-Espitia1, Nilda Espinola-Zavaleta
1Instituto Nacional de Cardiología Ignacio Chávez, Secretaría de Salud, Distrito Federal, Mexico.
Insights
Ventricular non-compaction, a heart muscle condition, often appears with complex congenital heart defects in children. Echocardiography effectively diagnoses this condition, aiding in understanding its clinical behavior.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Cardiac Imaging
Background:
- Ventricular non-compaction (VNC) is a rare congenital cardiomyopathy.
- Its association with complex congenital heart disease (CHD) requires detailed characterization.
Observation:
- Six pediatric patients with complex CHD were evaluated for VNC.
- Jenni's criteria were applied using echocardiography.
Findings:
- Prominent trabeculae and deep intertrabecular recesses were visualized in all cases.
- The ratio of non-compacted to compacted myocardium was 2.5±0.19.
- Associated CHDs included Uhl's anomaly, single ventricle, and great artery transposition.
Implications:
- VNC in children presents with specific clinical manifestations linked to underlying CHD.
- Echocardiography is a crucial diagnostic tool for assessing VNC.
- Understanding these associations improves diagnostic and management strategies for pediatric heart conditions.
Objective:
To describe the clinical behavior and the echocardiographic features of six patients with ventricular non-compaction associated to complex congenital heart disease.
Methods:
A complete clinical history and the echocardiographic study were performed in six patients with complex congenital heart disease. Jenni's criteria for the echocardiograph assessment of ventricular non compaction were used.
Results:
In all cases prominent trabeculae and deep intertrabecular recesses in the ventricular wall filled by direct blood flow from the ventricular chamber were visualized by color Doppler imaging. The ratio of none compacted to compacted layer was of 2.5±0.19. The associated congenital heart diseases were: Ulh's anomaly, the absence of right atrioventricular connection, single ventricle, cleft of mitral valve, transposition of the great arteries, double inlet in left ventricle.
Conclusions:
The clinical manifestations were presented in the childhood and they were associated with congenital heart defect. The echocardiography is a diagnostic method which allows the assessment of the ventricular noncompaction.
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