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Articles

Title: Noncompaction of left ventricular myocardium connected with double ventricular septal defect

Author:
Ireneusz Jedliński, Judyta Schlaffke, Marek Michalski, Kajetan Poprawski, Rafał Dankowski, Michał Wierzchowiecki, Bogna Wierusz-Wysocka
Type:
Case Reports
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2002
Volume:
4
Number:
4
Start page:
401
Final page:
404
ISSN:
1507-5540
Keywords:
noncompaction of left ventricular myocardium, ventricular septal defect, contrast echocardiography
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We describe a case of 64-year old małe with echocardiographic features of noncompaction of left ventri-cular myocardium connected with double ventricular septal defect (VSD). He had been suffering from incre-asing resting dyspnea. During physical examination the systolic murmur in the mitral area and peripheral oe-dema were present. In ECG the left bundle branch błock was observed. The transthoracic echocardiographic examination disclosed numerous prominent trabeculations and deep intertrabecular recesses involving the left ventricular apical region at the ventricular septum aneurysm. Echocardiographic contrast-enhanced study was performed after infusion of Levovist® using second harmonie imaging. The opacification of the intertrabecular spaces, confirmed the communication between intertrabecular recesses and left ventricular cavity. During trasesophageal study the membranous VSD was detected. Magnetic resonance imaging showed the second VSD on the top of ventricular septum aneurysm.