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In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
Diagnosis of left ventricular noncompaction by computed tomography
Mina M Benjamin1, Rainer A Khetan, Robert C Kowal
1Department of Internal Medicine (Benjamin, Khetan) and the Division of Cardiology (Kowal, Schussler), Baylor University Medical Center at Dallas and the Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas.
Proceedings (Baylor University. Medical Center)
|October 19, 2012
Summary
Left ventricular noncompaction (LVNC) is a rare heart muscle disorder. Cardiac CT imaging confirmed LVNC in a patient misdiagnosed with dilated cardiomyopathy, highlighting CT
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Left ventricular noncompaction (LVNC) is a rare congenital cardiomyopathy characterized by excessive myocardial trabeculation.
- Patients with LVNC are at risk of embolic events, such as stroke, originating from intra-cardiac thrombi within the noncompacted recesses.
Purpose of the Study:
- To report a case of LVNC initially misdiagnosed as idiopathic dilated cardiomyopathy.
- To evaluate the utility of 64-slice multidetector cardiac computed tomography (CT) in diagnosing LVNC and assessing coronary arteries.
Main Methods:
- Case presentation of a patient with suspected cardiomyopathy.
- Diagnostic confirmation using 64-slice multidetector cardiac CT.
Main Results:
- Cardiac CT successfully diagnosed LVNC, differentiating it from the initial misdiagnosis of idiopathic dilated cardiomyopathy.
- The study demonstrates cardiac CT as a viable tool for LVNC diagnosis and concurrent coronary artery assessment.
Conclusions:
- Accurate diagnosis of LVNC is crucial due to its potential familial inheritance and poor prognosis.
- Multidetector cardiac CT is a valuable imaging modality for diagnosing LVNC and evaluating associated coronary artery disease.
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