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Left Ventricular Noncompaction Cardiomyopathy in Pediatric Patients: A Case Series of a Clinically Heterogeneous Disease

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Abstract

Left ventricular noncompaction is a rare form of cardiomyopathy, which results from multiple trabeculations in the left ventricular myocardium. The clinical presentation is highly variable, and spectrum includes asymptomatic patients diagnosed during family screening on one end to patients with depressed systolic function, heart failure, thromboembolic complications, and cardiac arrhythmias on the other (Kim et al in J Am Coll Cardiol 53: 2009, 2009). Further, the progression of the condition is highly variable. Hence, these patients require close follow-up, and management for each patient needs to be individualized and periodically reevaluated. Here, we present a series of five cases that have been followed in our practice and present our experience. A literature review of this rare form of congenital cardiomyopathy is also presented.

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References

  1. Engberding R, Bender F (1984) Identification of a rare congenital anomaly of the myocardium by two-dimensional echocardiography: persistence of isolated myocardial sinusoids. Am J Cardiol 53(11):1733–1734

    Article  CAS  PubMed  Google Scholar 

  2. Jenni R, Oechslin E, Schneider J, Attenhofer Jost C, Kaufmann PA (2001) Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart 86(6):666–671

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Branton H, Warren AE, Penney LS (2011) Left ventricular noncompaction and coronary artery fistula in an infant with deletion 22q11.2. Pediatr Cardiol 32(2):208–210

    Article  PubMed  Google Scholar 

  4. Lofiego C, Biagini E, Pasquale F, Ferlito M, Rocchi G, Perugini E et al (2007) Wide spectrum of presentation and variable outcomes of isolated left ventricular non-compaction. Heart 93(1):65–71

    Article  CAS  PubMed  Google Scholar 

  5. Chin TK, Perloff JK, Williams RG, Jue K, Mohrmann R (1990) Isolated noncompaction of left ventricular myocardium. A study of eight cases. Circulation 82(2):507–513

    Article  CAS  PubMed  Google Scholar 

  6. Oechslin EN, Attenhofer Jost CH, Rojas JR, Kaufmann PA, Jenni R (2000) Long-term follow-up of 34 adults with isolated left ventricular noncompaction: a distinct cardiomyopathy with poor prognosis. J Am Coll Cardiol 36(2):493–500

    Article  CAS  PubMed  Google Scholar 

  7. Pignatelli RH, McMahon CJ, Dreyer WJ, Denfield SW, Price J, Belmont JW et al (2003) Clinical characterization of left ventricular noncompaction in children: a relatively common form of cardiomyopathy. Circulation 108(21):2672–2678

    Article  PubMed  Google Scholar 

  8. Uribe S, Cadavid L, Hussain T, Parra R, Urcelay G, Heusser F et al (2012) Cardiovascular magnetic resonance findings in a pediatric population with isolated left ventricular non-compaction. J Cardiovasc Magn Reson 14:9

    Article  PubMed  PubMed Central  Google Scholar 

  9. Petersen SE, Selvanayagam JB, Wiesmann F, Robson MD, Francis JM, Anderson RH et al (2005) Left ventricular non-compaction: insights from cardiovascular magnetic resonance imaging. J Am Coll Cardiol 46(1):101–105

    Article  PubMed  Google Scholar 

  10. Sarma RJ, Chana A, Elkayam U (2010) Left ventricular noncompaction. Prog Cardiovasc Dis 52(4):264–273

    Article  PubMed  Google Scholar 

  11. Stollberger C, Gerecke B, Finsterer J, Engberding R (2013) Refinement of echocardiographic criteria for left ventricular noncompaction. Int J Cardiol 165(3):463–467

    Article  PubMed  Google Scholar 

  12. Captur G, Muthurangu V, Cook C, Flett AS, Wilson R, Barison A et al (2013) Quantification of left ventricular trabeculae using fractal analysis. J Cardiovasc Magn Reson 15:36

    Article  PubMed  PubMed Central  Google Scholar 

  13. Jacquier A, Thuny F, Jop B, Giorgi R, Cohen F, Gaubert JY et al (2010) Measurement of trabeculated left ventricular mass using cardiac magnetic resonance imaging in the diagnosis of left ventricular non-compaction. Eur Heart J 31(9):1098–1104

    Article  PubMed  Google Scholar 

  14. Ichida F, Hamamichi Y, Miyawaki T, Ono Y, Kamiya T, Akagi T et al (1999) Clinical features of isolated noncompaction of the ventricular myocardium: long-term clinical course, hemodynamic properties, and genetic background. J Am Coll Cardiol 34(1):233–240

    Article  CAS  PubMed  Google Scholar 

  15. El-Menyar AA, Gendi SM, Numan MT (2007) Noncompaction cardiomyopathy in the State of Qatar. Saudi Med J 28(3):429–434

    PubMed  Google Scholar 

  16. Maron BJ, Udelson JE, Bonow RO, Nishimura RA, Ackerman MJ, Estes NA 3rd et al (2015) Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 3: hypertrophic cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy and other cardiomyopathies, and myocarditis: a scientific statement from the american heart association and american college of cardiology. J Am Coll Cardiol 66(21):2362–2371

    Article  PubMed  Google Scholar 

  17. Stanton C, Bruce C, Connolly H, Brady P, Syed I, Hodge D, Asirvatham S, Friedman P (2009) Isolated left ventricular noncompaction syndrome. J Am Cardiol 104:1135–1138

    Article  Google Scholar 

  18. Captur G, Nihoyannopoulos P (2009) Left ventricular non-compaction: genetic heterogeneity, diagnosis and clinical course. Int J Cardiol 140:145–153

    Article  PubMed  Google Scholar 

  19. Stollberger C, Finsterer J (2004) Left ventricular hypertrabeculation/noncompaction. J Am Soc Echocardiogr 17:91–100

    Article  PubMed  Google Scholar 

  20. McCaffrey F (2001) Around pediheart: noncompaction of the left ventricle. Pediatr Cardiol 22:399

    Article  CAS  PubMed  Google Scholar 

  21. Winer N, Lefevre M, Nomballais MF et al (1998) Persisting spongy myocardium: a case indicating the difficulty of antenatal diagnosis. Fetal Diagn Ther 13:227–232

    Article  CAS  PubMed  Google Scholar 

  22. Sato Y, Matsumoto N, Matsuo S et al (2007) Isolated noncompaction of the ventricular myocardium in a 94 year-old-patient: depiction of echocardiography and magnetic resonance imaging. Int J Cardiol 119:e32–e34

    Article  PubMed  Google Scholar 

  23. Bleyl SB, Mumford BR, Brown-Harrison MC et al (1997) Xq28-linked noncompaction of the ventricular myocardium: prenatal diagnosis and pathologic analysis of affected individuals. Am J Med Genet 72:257–265

    Article  CAS  PubMed  Google Scholar 

  24. Weiford B, Subbarao V, Mulhrn K (2004) Noncompaction of the ventricular myocardium. Circulation 109:2965–2971

    Article  PubMed  Google Scholar 

  25. Biagini E, Ragni L, Ferlito M et al (2006) Different types of cardiomyopathy associated with isolated ventricular non-compaction. Am J Cardiol 98:619–627

    Article  Google Scholar 

  26. Finsterer J (2009) Cardiogenetics, neurogenetics and pathogenetics of left ventricular hypertrabeculation/noncompaction. Pediatr Cardiol 30:e659–e681

    Article  Google Scholar 

  27. Toyono M, Kondo C, Nakajima, Nakazawa M, Momma K, Kuskabe K (2001) Effects of carvedilol on left ventricular function, mass and scintigraphic findings in isolated left ventricular non-compaction. Heart 86:e4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Kim H, Chang S, Kim Y et al (2009) Fireworks in the left ventricle: doppler manifestation of left ventricular noncompaction. J Am Coll Cardiol 53:2009

    Article  PubMed  Google Scholar 

  29. Koh YY, Seo YU, Woo JJ et al (2004) Familial isolated noncompaction of the ventricular myocardium in asymptomatic phase. Yonsei Med J 45:931–935

    Article  PubMed  Google Scholar 

  30. Jenni R, Goebel N, Tartini R, Schneider J, Arbenz U, Oelz O (1986) Persisting myocardial sinusoids of both ventricles as an isolated anomaly: echocardiographic, angiographic, and pathological anatomical findings. Cardiovasc Intervent Radiol 9:127–131

    Article  CAS  PubMed  Google Scholar 

  31. Jessup M, Abraham WT, Casey DE, et al. 2009 Focused update ACCF/AHA guidelines for the diagnosis and management of heart failure in adults. J Am Coll Cardiol 2009; 54: 1343: 1382

    Google Scholar 

  32. Epstein A, DiMarco J, Ellenbogen K et al (2008) ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities. J Am Coll Cardiol 51:1–62

    Article  Google Scholar 

  33. Stollberger C, Finsterer J (2004) Thrombi in left ventricular hypertrabeculation/non-compaction: review of the literature. Acta Cardiol 59:341–344

    Article  PubMed  Google Scholar 

  34. Pitta S, Thatai D, Afonzo L (2007) Thromboembolic complications of left ventricular noncompaction: case report and brief review of the literature. J Clin Ultrasound 25:465–468

    Article  Google Scholar 

  35. Lorsheyd A, Cramer MJ, Velthuis BK et al (2006) Familial occurrence of isolated non-compaction cardiomyopathy. Eur J Heart Fail 8:826–831

    Article  PubMed  Google Scholar 

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Correspondence to Umang Gupta.

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Since this is a retrospective case review, consent was not obtained and no research performed on human or animal subjects. Also, no data that would help identify the patients have been used in the case series and the data related to patient identity have been stored on a separate unlinked file on a password protected computer kept securely by the investigator.

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Gupta, U., Makhija, P. Left Ventricular Noncompaction Cardiomyopathy in Pediatric Patients: A Case Series of a Clinically Heterogeneous Disease. Pediatr Cardiol 38, 681–690 (2017). https://doi.org/10.1007/s00246-016-1566-5

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  • DOI: https://doi.org/10.1007/s00246-016-1566-5

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