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European Journal of Echocardiography 2008 9(1):156-157; doi:10.1016/j.euje.2007.05.005
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Comprehensive contrast and 3-dimensional echocardiographic imaging of left ventricular noncompaction cardiomyopathy

Jose Baez-Escudero, Manu Pillai, Vijay Nambi and Hisham Dokainish*

Department of Medicine, Section of Cardiology, Baylor College of Medicine, 6620 Main Street, 11A.08, Houston, TX 77030, USA

Received 18 April 2007; accepted after revision 10 May 2007; online publish-ahead-of-print 9 July 2007.

* Corresponding author. Tel: +713 798 2608; fax: +713 798 2751. E-mail address: hishamd{at}bcm.tmc.edu


  Abstract

A 62-year-old woman with a history of heart failure, hypertension and stroke presented to hospital with dyspnea. Transthoracic echocardiography revealed significant left ventricular dysfunction; with contrast-enhanced 2- and 3-dimensional echocardiography, extensive hypetrabeculation of the left ventricular myocardium was visualized, leading to a diagnosis of noncompaction cardiomyopathy. Apical thrombi were excluded with contrast imaging; however, the patient was systemically anticoagulated owing to the presence of noncompaction cardiomyopathy in the setting of prior stroke. This case report demonstrates remarkable imaging of the left ventricular myocardium achieved with contrast-enhanced 3-dimensional echocardiography in the setting of noncompaction cardiomyopathy.

Keywords: 3-Dimensional echocardiography; Contrast echocardiography; Left ventricular noncompaction cardiomyopathy


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