Cardiac Imaging in Isolated Noncompaction of Ventricular Myocardium
2002; Lippincott Williams & Wilkins; Volume: 106; Issue: 5 Linguagem: Inglês
10.1161/01.cir.0000024107.08695.bc
ISSN1524-4539
AutoresMagnus Baumhäkel, I. Janzen, Michael Kindermann, Günther Schneider, Benno Hennen, Michael Böhm,
Tópico(s)Viral Infections and Immunology Research
ResumoHomeCirculationVol. 106, No. 5Cardiac Imaging in Isolated Noncompaction of Ventricular Myocardium Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplemental MaterialFree AccessReview ArticlePDF/EPUBCardiac Imaging in Isolated Noncompaction of Ventricular Myocardium Magnus Baumhäkel, Ingrid Janzen, Michael Kindermann, Günther Schneider, Benno Hennen and Michael Böhm Magnus BaumhäkelMagnus Baumhäkel From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. , Ingrid JanzenIngrid Janzen From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. , Michael KindermannMichael Kindermann From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. , Günther SchneiderGünther Schneider From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. , Benno HennenBenno Hennen From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. and Michael BöhmMichael Böhm From Medizinische Klinik und Poliklinik, Innere Medizin III (M. Baumhäkel, I.J., M.K., B.H., M. Böhm), and Abteilung fur Radiodiagnostik (G.S.), Universitätskliniken des Saarlandes, Homburg/Saar, Germany. Originally published30 Jul 2002https://doi.org/10.1161/01.CIR.0000024107.08695.BCCirculation. 2002;106:e16–e17A 42-year-old man with previously diagnosed dilated cardiomyopathy due to alcohol abuse was referred to our clinic for further diagnostic procedures. Cardiac catheterization (cine loop 1: Figure 1 and Movie I) demonstrated left ventricular dilatation with obviously hypokinetic basal and apical segments, a restrictive filling pattern ("square root sign"), moderate mitralic regurgitation, and no obstruction of the left ventricular outflow tract. Impaired systolic function was confirmed by an ejection fraction of 28%. After injection of a contrast medium, the basal and apical segments showed remarkable opacification, as evidenced by a loosened, spongy myocardium without indication of ventricular blood communication with the epicardial coronary artery system. Along with previously performed echocardiographic imaging, hereditary isolated noncompaction of ventricular myocardium (INVM) was diagnosed. Download figureDownload PowerPointFigure 1. Cine loop 1. Left ventricular angiography, 30° right anterior oblique projection. There is a permanent ventricular demand pacing pacemaker lead in the right ventricle.Additional screening of the relatives also revealed INVM in an asymptomatic half-sister (age, 40 years). Her echocardiographic imaging showed a regular-sized left chamber (left ventricular end-diastolic diameter, 54 mm) with hypertrophied apical segments. The myocardium appeared loosened, with deep intramyocardial recesses and prominent trabeculations comparable to those seen in her brother's echocardiography images. Color Doppler imaging of the apical myocardium (cine loop 2: Figure 2 and Movie II) demonstrated blood flow throughout the trabeculations. Fractional shorten-ing was calculated as 22%. Additionally, her cardiac MRI (cine loop 3: Figure 3 and Movie III) showed a typical myocardial appearance of both ventricles in this rare congenital disorder. Download figureDownload PowerPointFigure 2. Cine loop 2. Color Doppler imaging of the left ventricle in an apical 4-chamber view.Download figureDownload PowerPointFigure 3. Cine loop 3. MRI of longitudinal section of the heart (cine true fast imaging with steady-state precision).In conclusion, diagnosis of INVM is made mainly on the basis of sufficient cardiac imaging, including echocardiographic imaging, catheterization, and MRI or CT.Movies I, II, and III are available in an online-only Data Supplement at http://www.circulationaha.org.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke's Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.FootnotesCorrespondence to Magnus Baumhäkel, Universitätskliniken des Saarlandes, Medizinische Klinik und Poliklinik, Innere Medizin III, Kirrbergstr, D-66421 Homburg/Saar, Germany. E-mail [email protected] eLetters(0) eLetters should relate to an article recently published in the journal and are not a forum for providing unpublished data. Comments are reviewed for appropriate use of tone and language. Comments are not peer-reviewed. Acceptable comments are posted to the journal website only. Comments are not published in an issue and are not indexed in PubMed. Comments should be no longer than 500 words and will only be posted online. References are limited to 10. Authors of the article cited in the comment will be invited to reply, as appropriate. Comments and feedback on AHA/ASA Scientific Statements and Guidelines should be directed to the AHA/ASA Manuscript Oversight Committee via its Correspondence page. Sign In to Submit a Response to This Article Previous Back to top Next FiguresReferencesRelatedDetailsCited By Finsterer J, Stöllberger C, Blazek G and Sehnal E (2013) Familal left ventricular hypertrabeculation (noncompaction) is myopathic, International Journal of Cardiology, 10.1016/j.ijcard.2011.07.012, 164:3, (312-317), Online publication date: 1-Apr-2013. Nemes A, Caliskan K, Soliman O, McGhie J, Geleijnse M and ten Cate F (2009) Diagnosis of biventricular non-compaction cardiomyopathy by real-time three-dimensional echocardiography, European Heart Journal - Cardiovascular Imaging, 10.1093/ejechocard/jep008, 10:2, (356-357), Online publication date: 1-Mar-2009., Online publication date: 1-Mar-2009. Abbara S and Miller S (2009) Pericardial and Myocardial Disease Cardiac Imaging, 10.1016/B978-0-323-05527-7.50016-0, (265-296), . OGINOSAWA Y, NOGAMI A, SOEJIMA K, AONUMA K, KUBOTA S, SATO T, SUGIYASU A, YOSHIDA K, KOWASE S, SAKAMAKI M, KUROSAKI K and KATO K (2008) Effect of Cardiac Resynchronization Therapy in Isolated Ventricular Noncompaction in Adults: Follow‐Up of Four Cases, Journal of Cardiovascular Electrophysiology, 10.1111/j.1540-8167.2008.01161.x, 19:9, (935-938), Online publication date: 1-Sep-2008. Ashikaga H, Coppola B, Yamazaki K, Villarreal F, Omens J and Covell J (2008) Changes in regional myocardial volume during the cardiac cycle: implications for transmural blood flow and cardiac structure, American Journal of Physiology-Heart and Circulatory Physiology, 10.1152/ajpheart.00107.2008, 295:2, (H610-H618), Online publication date: 1-Aug-2008. Stöllberger C, Kopsa W, Tscherney R and Finsterer J (2008) Diagnosing Left Ventricular Noncompaction by Echocardiography and Cardiac Magnetic Resonance Imaging and Its Dependency on Neuromuscular Disorders, Clinical Cardiology, 10.1002/clc.20253, 31:8, (383-387), Online publication date: 1-Aug-2008. Alsaileek A, Syed I, Seward J and Julsrud P (2008) Myocardial fibrosis of left ventricle: Magnetic resonance imaging in noncompaction, Journal of Magnetic Resonance Imaging, 10.1002/jmri.21068, 27:3, (621-624), Online publication date: 1-Mar-2008. Xu Y, Wang D and Tang L (2007) Evaluation of cardiac structures and function in hypertrophic cardiomyopathy with magnetic resonance imaging, Journal of Nanjing Medical University, 10.1016/S1007-4376(07)60085-9, 21:6, (390-393), Online publication date: 1-Nov-2007. Chrissoheris M, Ali R, Vivas Y, Marieb M and Protopapas Z (2007) Isolated noncompaction of the ventricular myocardium: contemporary Diagnosis and Management, Clinical Cardiology, 10.1002/clc.20004, 30:4, (156-160), Online publication date: 1-Apr-2007. Stöllberger C and Finsterer J (2006) Pitfalls in the diagnosis of left ventricular hypertrabeculation/non-compaction, Postgraduate Medical Journal, 10.1136/pgmj.2006.046169, 82:972, (679-683), Online publication date: 1-Oct-2006. Isbell D and Kramer C (2006) The Evolving Role of Cardiovascular Magnetic Resonance Imaging in Nonischemic Cardiomyopathy, Seminars in Ultrasound, CT and MRI, 10.1053/j.sult.2005.11.002, 27:1, (20-31), Online publication date: 1-Feb-2006. Alhabshan F, Smallhorn J, Golding F, Musewe N, Freedom R and Yoo S (2005) Extent of myocardial noncompaction: comparison between MRI and echocardiographic evaluation, Pediatric Radiology, 10.1007/s00247-005-1551-2, 35:11, (1147-1151), Online publication date: 1-Nov-2005. de Groot-de Laat L, Krenning B, ten Cate F and Roelandt J (2005) Usefulness of Contrast Echocardiography for Diagnosis of Left Ventricular Noncompaction, The American Journal of Cardiology, 10.1016/j.amjcard.2004.12.025, 95:9, (1131-1134), Online publication date: 1-May-2005. (2003) References The Natural and Modifed History of Congenital Heart Disease, 10.1002/9780470986905.refs, (601-868), Online publication date: 13-Nov-2003. July 30, 2002Vol 106, Issue 5 Advertisement Article Information Metrics https://doi.org/10.1161/01.CIR.0000024107.08695.BCPMID: 12147550 Originally publishedJuly 30, 2002 PDF download Advertisement
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