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J Korean Soc Radiol. 2010 Nov;63(5):419-423. Korean. Case Report. https://doi.org/10.3348/jksr.2010.63.5.419
Cho EM , Byun JN , Kim DH .
Department of Radiology, Chosun University Hospital, Korea.
Department of Radiology, Soonchunhyang University Hospital Bucheon, Korea. dhk0827@schmc.ac.kr
Abstract

We report a case of a 38-year-old male presenting with new-onset dyspnea, that was diagnosed as left ventricular noncompaction by transthoracic echocardiographic and cardiac MR. The tests revealed left ventricularsystolic dysfunction with prominent trabeculations associated with deep intertrabecular recesses and an end-diastolic noncompacted to compacted ratio of 2.5 in the whole apical wall and mid-ventricular anterolateraland inferolateral walls. Delayed gadolinium contrast-enhanced MRI revealed subepicardial mid-wall hyperenhancement of the midventricular anteroseptal and inferoseptal walls, which suggested myocardial fibrosis. We review the pathophysiology, clinical characteristics, and diagnostic approach of the left ventricular noncompaction associated with congestive heart failure.

Copyright © 2019. Korean Association of Medical Journal Editors.