Left ventricular noncompaction associated with multiple coronary cameral fistulae.
Year: 2012
Type: article
Study design: Case Report
Abstract: A 56-year-old hypertensive man, a smoker, presented with recurrent dyspnea of 1 month's duration, transient right upper-extremity paresis, and expressive aphasia. Transthoracic echocardiography revealed a heavily trabeculated left ventricle (LV) with a severely decreased ejection fraction and a 1.2 × 1.5-cm thrombus at the LV apex (Figs. 1–3). Coronary cineangiography showed shunting of contrast medium from the mid-distal left anterior descending coronary artery (LAD) to the LV (Fig. 4).
Fig. 1 Transthoracic echocardiogram (4-chamber view) shows prominent trabecular meshwork in the left ventricular apex (arrow) and an apical thrombus (arrowhead).
Fig. 3 Transthoracic color-flow Doppler echocardiogram (4-chamber view) shows evidence of blood flow within the intertrabecular recesses (arrows) and the apical thrombus (arrowhead).
Fig. 4 Coronary cineangiography shows shunting of contrast medium from the mid-distal left anterior descending coronary artery to the left ventricle. Real-time motion image is available at www.texasheart.org/journal.
Fig. 2 Transthoracic echocardiogram (parasternal short-axis view) shows a thickened endocardial layer with numerous prominent trabeculations. The black arrow points to noncompacted myocardium; the white arrow, to compacted myocardium. Real-time motion ...
Source: Europe PMC (PubMed Central)
Institutions: University of Connecticut, UConn Health
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W42495063