Dilated cardiomyopathy with non-compaction of the left ventricle

Case contributed by Igor Yarmola
Diagnosis certain

Presentation

Acute heart failure.

Patient Data

Age: 15 years
Gender: Female

Extensive trabeculations within the left ventricle and thinning of the underlying compact myocardium. Also, there is left ventricular globular remodeling. No evidence of pathological myocardial contrast enhancement.

The ratio of the non-compaction myocardium to the compacted myocardium is 4.3 (16 mm / 3.7 mm).

This case is presented together with colleagues Anikin A. and Barskiy V.

Case Discussion

This is a case of non-compaction of the left vetricle: thickened trabecular layer with thin compact myocardium. Globular remodeling of the left ventricle is also presented.

Hearth failure is due to impaired ventricular contraction and decreased ejection fraction. The left ventricle is dilated.

  • LV EDV/BSA 142 ml/m2
  • LF EF 26%

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