Document Detail

Left ventricular noncompaction with a single coronary artery of anomalous origin.
MedLine Citation:
PMID:  17442437     Owner:  NLM     Status:  MEDLINE    
Noncompaction of ventricular myocardium (NVM) is a morphogenetic anomaly of ventricular myocardium that leads to the development of cardiomyopathy. It is frequently associated with other congenital cardiac malformations. A 75-year-old woman was admitted with resting dyspnea lasting for several days. Two-dimensional echocardiography demonstrated an enlarged left ventricle with global impairment of systolic function. The myocardial trabeculations, with multiple recesses, were observed at the apex and mid-ventricular segment of the left ventricle. Contrast echocardiography showed filling of the recesses with the contrast agent. Dynamic contrast magnetic resonance imaging also showed distinctive features of NVM corresponding to the echocardiographic findings. In addition, a coronary artery originating from the proximal ascending aorta was observed. Aortogram and coronary angiography confirmed that the coronary artery had an aberrant origin from the ascending aorta and right coronary artery was an anomalous origin from left anterior descending coronary artery. This case suggests that NVM can present with other life threatening cardiovascular anomalies and different imaging studies are helpful for a comprehensive diagnosis.
Jong-Seon Park; Dong-Gu Shin; Young-Jo Kim; Gu-Ru Hong; Woong Kim; Sang-Hee Lee; Bong-Sup Shim
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Publication Detail:
Type:  Case Reports; Letter     Date:  2007-04-17
Journal Detail:
Title:  International journal of cardiology     Volume:  119     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e35-7     Citation Subset:  IM    
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MeSH Terms
Cardiomyopathies / diagnosis*,  drug therapy
Contrast Media
Coronary Angiography
Coronary Vessel Anomalies / diagnosis*,  drug therapy
Diagnosis, Differential
Heart Ventricles / abnormalities*
Magnetic Resonance Imaging
Ventricular Dysfunction, Left / diagnosis*,  drug therapy
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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