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Cardiac MRI and Transthoracic Echocardiography of Left Ventricular Myocardial Noncompaction in A Patient with Congestive Heart Failure: A Case Report  

Cho, Eui-Min (Department of Radiology, Chosun University Hospital)
Byun, Joo-Nam (Department of Radiology, Chosun University Hospital)
Kim, Dong-Hun (Department of Radiology, Soonchunhyang University Hospital Bucheon)
Publication Information
Journal of the Korean Society of Radiology / v.63, no.5, 2010 , pp. 419-423 More about this Journal
Abstract
We report a case of a 38-year-old male presenting with new-onset dyspnea, that was diagnosed as left ventricular noncompaction by transthoracic echocardiographic and cardiac MR. The tests revealed left ventricular systolic dysfunction with prominent trabeculations associated with deep intertrabecular recesses and an enddiastolic noncompacted to compacted ratio of 2.5 in the whole apical wall and mid-ventricular anterolateral and inferolateral walls. Delayed gadolinium contrast-enhanced MRI revealed subepicardial mid-wall hyperenhancement of the midventricular anteroseptal and inferoseptal walls, which suggested myocardial fibrosis. We review the pathophysiology, clinical characteristics, and diagnostic approach of the left ventricular noncompaction associated with congestive heart failure.
Keywords
Magnetic Resonance Imaging; Echocardiography; Heart; Left Ventricles; Noncompaction;
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