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Diagnosis of left ventricular noncompaction by computed tomography.
MedLine Citation:
PMID:  23077386     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Left ventricular noncompaction (LVNC) is a rare disorder in which the left ventricular endocardial surface is not appropriately flattened and is heavily trabeculated. Patients with this condition can be affected by stroke from emboli that originate from these recesses. We present a patient with LVNC who was originally misdiagnosed as having an idiopathic dilated cardiomyopathy. Ultimately, diagnosis of LVNC was confirmed through the use of 64-slice multidetector cardiac computed tomography (CT). There are few reports of using multidetector CT for diagnosis of LVNC, but this appears to be a viable option in confirming the diagnosis and at the same time assessing the coronary arteries. The recognition of this cardiomyopathy and its differentiation from other nonischemic cardiomyopathies have important implications for the patient and for family members, given its potential familial inheritance patterns and poor long-term prognosis.
Authors:
Mina M Benjamin; Rainer A Khetan; Robert C Kowal; Jeffrey M Schussler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Proceedings (Baylor University. Medical Center)     Volume:  25     ISSN:  0899-8280     ISO Abbreviation:  Proc (Bayl Univ Med Cent)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-18     Completed Date:  2012-10-19     Revised Date:  2013-02-19    
Medline Journal Info:
Nlm Unique ID:  9302033     Medline TA:  Proc (Bayl Univ Med Cent)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  354-6     Citation Subset:  -    
Affiliation:
Department of Internal Medicine (Benjamin, Khetan) and the Division of Cardiology (Kowal, Schussler), Baylor University Medical Center at Dallas and the Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas.
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