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European Journal of Echocardiography 2006 7(1):67-70; doi:10.1016/j.euje.2005.03.001
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Copyright © 2005, The European Society of Cardiology

Additive value of contrast echocardiography for the diagnosis of noncompaction of the left ventricular myocardium

Pasquale Gianfagnaa, Luigi P. Badanoa,*, Giorgio Faganelloa, Elena Tosorattib and Paolo M. Fiorettia

aDepartment of Cardiovascular Sciences, Echo-Lab, A.O. S Maria della Misericordia, P.le S Maria della Misericordia 15, 33100 Udine, Italy
bDipartimento di Scienze e Tecnologie Biomediche, Scuola di Medicina dello Sport, School of Medicine, Udine, Italy

Received 13 August 2004; received in revised form 16 February 2005; accepted after revision 6 March 2005.

* Corresponding author. Tel.: +39 0432 552444; fax: +39 0432 482353. lbadan{at}tin.it


  Abstract

Noncompaction of the left ventricular myocardium is a rare and unclassified cardiomyopathy that remains frequently overlooked, even by experienced echocardiographers. This fact may be due to non-optimal imaging of the lateral and apical myocardium, and/or insufficient disease awareness by echocardiographers. We report a case of a young man with heart failure and severe left ventricular dysfunction, previously diagnosed of ischemic etiology, in which the contrast enhancement of left ventricular endocardium allowed us to reach the correct diagnosis of isolated left ventricular noncompaction.

Keywords: Contrast; Congenital; Cardiomyopathy; Noncompaction


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