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A case of noncompaction at all segments of both right and left ventricles.

Pourmoghaddas A, Zavar R, Behjati M - Case Rep Cardiol (2014)

Bottom Line: Transthoracic echocardiography showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure.After injection of agitated saline some bubbles were passed from right to left through patent foramen oval (PFO).Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT
Background. Noncompaction/hypertrabeculation left ventricle (NCM/HVM) is most commonly reported in one or more segments of left ventricle and sometimes both ventricles. In this case, we present noncompaction of all segments of right and left ventricle, in a young man with mental retardation. Case Presentation. A 19-year-old male was referred to us with sudden dyspnea at rest and chest discomfort. He was a known case of mental retardation. He was born full term with birth weight = 1250 grams. On physical examination. A systolic murmur (II/VI) at left sternal border was heard. ECG showed increased voltage in precordial lead and deep ST segment depression. Chest X-ray (CXR) was within normal limits. Transthoracic echocardiography showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure. After injection of agitated saline some bubbles were passed from right to left through patent foramen oval (PFO). Conclusions. Extensive sinusoid formation and trabeculation of RV and nearby all LV segments and its association with mental retardation suggest presence of strong genetic background.

No MeSH data available.


Related in: MedlinePlus

SAX view (thickness noncompaction/compaction = 2.5/0.5).
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fig3: SAX view (thickness noncompaction/compaction = 2.5/0.5).

Mentions: A 19-year-old male was referred to ED of Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran, due to sudden dyspnea at rest and chest discomfort. He was a known case of mental retardation. He was born full term with birth weight = 1250 grams. On physical examination, silent pericardium and percussion dullness from second to fifth left intercostal space were detected. A systolic murmur (II/VI) at left sternal border was heard. ECG showed giant voltages in precordial lead and deep ST segment depression (Figure 1). Chest X-ray (CXR) was within normal limits (Figure 2). Transthoracic echocardiography (Figures 3, 4, 5, 6 and 7) showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure. After injection of agitated saline some bubbles were passed from right to left through patent foramen ovale (PFO). He was scheduled for close observation.


A case of noncompaction at all segments of both right and left ventricles.

Pourmoghaddas A, Zavar R, Behjati M - Case Rep Cardiol (2014)

SAX view (thickness noncompaction/compaction = 2.5/0.5).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4265543&req=5

fig3: SAX view (thickness noncompaction/compaction = 2.5/0.5).
Mentions: A 19-year-old male was referred to ED of Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran, due to sudden dyspnea at rest and chest discomfort. He was a known case of mental retardation. He was born full term with birth weight = 1250 grams. On physical examination, silent pericardium and percussion dullness from second to fifth left intercostal space were detected. A systolic murmur (II/VI) at left sternal border was heard. ECG showed giant voltages in precordial lead and deep ST segment depression (Figure 1). Chest X-ray (CXR) was within normal limits (Figure 2). Transthoracic echocardiography (Figures 3, 4, 5, 6 and 7) showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure. After injection of agitated saline some bubbles were passed from right to left through patent foramen ovale (PFO). He was scheduled for close observation.

Bottom Line: Transthoracic echocardiography showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure.After injection of agitated saline some bubbles were passed from right to left through patent foramen oval (PFO).Conclusions.

View Article: PubMed Central - PubMed

Affiliation: Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran.

ABSTRACT
Background. Noncompaction/hypertrabeculation left ventricle (NCM/HVM) is most commonly reported in one or more segments of left ventricle and sometimes both ventricles. In this case, we present noncompaction of all segments of right and left ventricle, in a young man with mental retardation. Case Presentation. A 19-year-old male was referred to us with sudden dyspnea at rest and chest discomfort. He was a known case of mental retardation. He was born full term with birth weight = 1250 grams. On physical examination. A systolic murmur (II/VI) at left sternal border was heard. ECG showed increased voltage in precordial lead and deep ST segment depression. Chest X-ray (CXR) was within normal limits. Transthoracic echocardiography showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compaction = 2.5/0.5) with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure. After injection of agitated saline some bubbles were passed from right to left through patent foramen oval (PFO). Conclusions. Extensive sinusoid formation and trabeculation of RV and nearby all LV segments and its association with mental retardation suggest presence of strong genetic background.

No MeSH data available.


Related in: MedlinePlus