Left ventricular non-compaction associated with Wolff-Parkinson-White syndrome: Echo, contrast-echo and cardiovascular magnetic-resonance data
| Autor: | Pierre Gibelin, Pamela Moceri, David Bertora, Pierre Cerboni |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Heart Diseases Heart Ventricles Accessory pathway Internal medicine medicine Humans cardiovascular diseases Non compaction ventriculaire gauche isolée Systole Thrombus Échocardiographie Ultrasonography medicine.diagnostic_test business.industry Hypertrophic cardiomyopathy Magnetic resonance imaging Atrial fibrillation General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Syndrome de Wolf-Parkinson-White Surgery Isolated left-ventricular non-compaction medicine.anatomical_structure Ventricle Echocardiography cardiovascular system Cardiology Left ventricular noncompaction Wolff-Parkinson-White Syndrome business Cardiology and Cardiovascular Medicine |
| Zdroj: | Archives of cardiovascular diseases. 101(7-8) |
| ISSN: | 1875-2136 |
| Popis: | A 58-year-old man with a history of dyspnoea was admitted for radiofrequency catheter ablation of an accessory pathway. He was diagnosed with Wolff-Parkinson-White syndrome when he presented a ventricular arrhythmia during atrial fibrillation. Transthoracic echocardiography revealed significant left-ventricular dysfunction with an enlarged left ventricle. We noted numerous and prominent trabeculations predominating in the apical and anterior areas and deep intratrabecular recesses, where colour Doppler revealed blood inflow. The non-compacted/compacted myocardium (NC/C) ratio at the end of systole was greater than 2, leading to a diagnosis of left ventricular noncompaction. The echocardiogram (with SonoVue®) revealed contrast in the recesses and reaching the bottom of the left ventricle (Fig. 1, plate 4). The echocardiograms rule out hypertrophic cardiomyopathy and intraventricular thrombus and detect more non-compacted segments. Three-dimensional echocardiography (Fig. 1, plate 3) was helpful in eliminating other differential diagnoses and for determining the location of the trabeculation: the |
| Databáze: | OpenAIRE |
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