PMC3547542_01
ECG on admission demonstrating bi-atrial hypertrophy, first degree AV block and an incomplete RBBB.
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There was also an inferior and a lateral subepicardial ischemia (Fig. 1).
Chest X-ray of patient at admission.
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Chest X-ray showed a cardiomegaly with the apex above the diaphragm, a rectitude left middle heart border, bulged right lower heart border, and prominent hilar vessels (Fig. 2).
Apical two chamber view shows zones of noncompaction and compaction by 2D echocardiography.
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Transthoracic echocardiography showed characteristics consistent with a hypokinetic dilated cardiomyopathy due to a left ventricular noncompaction characterized by the presence of prominent trabeculations predominantly in the left ventricle involving the apical lateral and mid anterolateral segments (Fig. 3) using the American Heart Association standardized segmentation of the left ventricle.
Apical four chamber view shows PAVD by 2D echocardiography.
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A partial atrioventricular canal defect (PAVD) was also noted (Fig. 4).