Abstract
Noncompaction of the ventricular myocardium (NVM) is a rare cardiac anomaly which can lead to the development of cardiomyopathy. NVM can be isolated or associated with congenital heart anomalies such as ventricular septal defect, atrial septal defect, pulmonic stenosis, bicuspid aortic valve, and Ebstein anomaly. NVM usually presents with heart failure symptoms, ventricular tachyarrhythmias, and thromboembolic events. We report two cases of NVM, one associated with a ventricular septal defect and other associated with bicuspid aortic valve.
Zusammenfassung
Die fehlende Verdichtung des ventrikulären Myokards [“noncompaction of the ventricular myocardium“ (NVM)] ist ein seltener Herzfehler, aus dem sich eine Kardiomyopathie entwickeln kann. Eine NVM kann isoliert vorliegen oder mit angeborenen Herzfehlern assoziiert sein, so beispielsweise mit einem Ventrikelseptum- oder Vorhofseptumdefekt, einer Pulmonalstenose, einer bikuspidalen Aortenklappe und einer Ebstein-Anomalie. Die NVM äußert sich gewöhnlich durch Symptome einer Herzinsuffizienz, ventrikuläre Tachyarrhythmien und thromboembolische Ereignisse. Wir berichten über 2 Patienten mit NVM, im einen Fall assoziiert mit einem Ventrikelseptumdefekt, im anderen mit einer bikuspidalen Aortenklappe.
References
Chin TK, Perloff JK, Williams RG et al (1990) Isolated noncompaction of left ventricular myocardium. A study of eight cases. Circulation 82:507–513
Jenni R, Oechslin E, Schneider J et al (2001) Echocardiographic and pathoanatomical characteristics of isolated left ventricular non-compaction: a step towards classification as a distinct cardiomyopathy. Heart 86:666–671
Corrado G, Santarone M, Miglierina E et al (2000) Isolated noncompaction of the ventricular myocardium. A study in an adult male and literature review. Ital Heart J 1:372–375
Gorgulu S, Celik S, Eksik A, Tezel T (2004) Double-orifice mitral valve associated with nonisolated left ventricular noncompaction–a case report. Angiology 55:707–710
Vijayvergiya R, Jha A, Pandian RP et al (2008) Isolated left ventricular noncompaction in association with rheumatic mitral stenosis. Int J Cardiol 123:e54–e56
Attenhofer Jost CH, Connolly HM, O’Leary PW et al (2005) Left heart lesions in patients with Ebstein anomaly. Mayo Clin Proc 80:361–368
Ciurzynski M, Lichodziejewska B, Tomaszewski A et al (2009) Biventricular noncompaction associated with left ventricular systolic and diastolic dysfunction and severe pulmonary hypertension in a young man. Circ J 73:2163–2165
Ichida F (2009) Left ventricular noncompaction. Circ J 73:19–26
Kovacevic-Preradovic T, Jenni R, Oechslin EN et al (2009) Isolated left ventricular noncompaction as a cause for heart failure and heart transplantation: a single center experience. Cardiology 112:158–164
Klaassen S, Probst S, Oechslin E et al (2008) Mutations in sarcomere protein genes in left ventricular noncompaction. Circulation 117:2893–2901
Eilen D, Peterson N, Karkut C, Movahed A (2008) Isolated noncompaction of the left ventricular myocardium: a case report and literature review. Echocardiography 25:755–761
Pitta S, Thatai D, Afonso L (2007) Thromboembolic complications of left ventricular noncompaction: case report and brief review of the literature. J Clin Ultrasound 35:465–468
Stollberger C, Blazek G, Winkler-Dworak M, Finsterer J (2009) Atrial fibrillation in left ventricular noncompaction with and without neuromuscular disorders is associated with a poor prognosis. Int J Cardiol 133:41–45
Emini M, Selmani H, Bajraktari G (2009) Late detection of noncompaction of the myocardium in an adult with complete interventricular septal defect. Turk Kardiyol Dern Ars 37:407–409
Yuce M, Akkoyun C, Oylumlu M et al (2010) Spongy myocardium–observation of 23 cases. Anadolu Kardiyol Derg 10:550–552
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Doğan, A., Aksoy, H. Coexistence of congenital heart anomalies with noncompaction of the ventricular myocardium. Herz 37, 699–701 (2012). https://doi.org/10.1007/s00059-012-3582-4
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DOI: https://doi.org/10.1007/s00059-012-3582-4