PMC4983355_01
Echocardiographic apical 4-chamber view showing an enlarged left ventricle (LV) with hypertrabeculation/noncompaction affecting the left ventricular apex, the apical septum, and lateral wall (arrows).
CRIC2016-7384264.001.jpg
PMC4983355_01_CRIC2016-7384264.001.jpg
fig1
Transthoracic echocardiography showed an enlarged left ventricle with an ejection fraction (EF) of 15-20% and surprisingly LVHT in the apical segment (Figure 1).
Cardiac MRI, cine mode, showing apical hypertrabeculation (arrows) and circumference pericardial effusion (asterisk) ((a) 4-chamber view, (b) midventricular 2-chamber view).
CRIC2016-7384264.002.jpg
PMC4983355_01_CRIC2016-7384264.002.jpg
fig2
Cardiac MRI revealed an enlarged left ventricle, with increased myocardial mass and markedly reduced systolic function and severe diffuse hypokinesia (Figure 2). LVHT was confirmed by cardiac MRI (Figure 2).