PMC5220458_01
EKG showing sinus rhythm with premature ventricular complexes and nonspecific T wave changes.
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Electrocardiogram (EKG) showed sinus rhythm with premature ventricular complexes and nonspecific T wave changes (Figure 1).
Two-dimensional echocardiogram in our patient demonstrating prominent trabeculations and deep intratrabecular recesses (marked by arrows).
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For further evaluation, echocardiogram was done that showed appearance of trabeculations and deep intertrabecular recesses (Figure 2), blood flow from ventricular chamber into intertrabecular spaces on doppler imaging (Figure 3), systolic thickness of compacted layer less than 8 mm (Figure 3), and ratio of noncompacted to compacted layer of >2 at end of systole (Figure 3) as well as diastole (Figure 4) consistent with noncompaction.
Color doppler echocardiogram demonstrating blood flow in the deep intertrabecular space (white arrow). Also, blue marking on the left ventricular wall showing noncompacted layer measuring 9.6 mm and yellow marking showing compacted layer measuring 4.4 mm with resulting ratio of noncompacted to compacted layer >2 at the end of systole.
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fig3
For further evaluation, echocardiogram was done that showed appearance of trabeculations and deep intertrabecular recesses (Figure 2), blood flow from ventricular chamber into intertrabecular spaces on doppler imaging (Figure 3), systolic thickness of compacted layer less than 8 mm (Figure 3), and ratio of noncompacted to compacted layer of >2 at end of systole (Figure 3) as well as diastole (Figure 4) consistent with noncompaction.
Apical four-chamber view of echocardiography demonstrating the end diastolic ratio of noncompacted layer 18.7 mm (yellow marking) and compacted layer 7.2 mm (blue marking) with resultant ratio of >2.
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fig4
For further evaluation, echocardiogram was done that showed appearance of trabeculations and deep intertrabecular recesses (Figure 2), blood flow from ventricular chamber into intertrabecular spaces on doppler imaging (Figure 3), systolic thickness of compacted layer less than 8 mm (Figure 3), and ratio of noncompacted to compacted layer of >2 at end of systole (Figure 3) as well as diastole (Figure 4) consistent with noncompaction.