Non-compaction of the left ventricle

Case contributed by Dr Azza Elgendy

Presentation

Acute heart failure

Patient Data

Age: 30 year
Gender: Female
Modality: MRI

Left ventricular non-compaction.

Steady-state free precession cine images in diastole. Abnormal (> 2.3:1) of non compacted to compacted myocardium in diastole.

Modality: Annotated image

The ratio of the non compaction myocardium to the compacted myocardium is 3 (1.5/.5)

Case Discussion

There is excessive trabeculation at left ventricular myocardium. 2.3:1 ratio of non compacted to compacted myocardium at end-diastole on SAXs CINE or LONG AXIS at the apex.

Differential diagnosis:

  • Apical hypertrophic cardiomyopathy
  • Dilated cardiomyopathy
  • Late gadolinium enhancement imaging with long inversion time (~ 600 milliseconds) to exclude thrombus
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Case Information

rID: 38868
Case created: 8th Aug 2015
Last edited: 9th Sep 2015
System: Cardiac
Inclusion in quiz mode: Included

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