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KMID : 1103720100630050419
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Journal of the Korean Society of Radiology
2010 Volume.63 No. 5 p.419 ~ p.423
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Cardiac MRI and Transthoracic Echocardiography of Left Ventricular Myocardial Noncompaction in A Patient with Congestive Heart Failure: A Case Report
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Cho Eui-Min
Byun Joo-Nam
Kim Dong-Hun
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Abstract
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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 ventricular systolic dysfunction with prominent trabeculations associated with deep intertrabecular recesses and an enddiastolic noncompacted to compacted ratio of 2.5 in the whole apical wall and mid-ventricular anterolateral and 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.
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KEYWORD
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Magnetic Resonance Imaging, Echocardiography, Heart, Left Ventricles, Noncompaction
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