Skip to main content
Log in

Left Ventricular Noncompaction: A Rare Cause of Hydrops Fetalis

  • Case Report
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

We present a case of isolated left ventricular noncompaction (LVNC), a severe congenital cardiomyopathy, which presented in the neonatal period as fetal hydrops. To our knowledge, this is the first child with LVNC presenting with hydrops fetalis to survive infancy. Once considered a uniformly fatal and extremely rare form of cardiomyopathy, LVNC has recently been shown to be more common than previously reported, with a varying range of clinical severity. Although long-term morbidity and mortality are not clearly known, recent work suggests better survivability than once reported.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

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

    PubMed  CAS  Google Scholar 

  2. Frischknecht BS, Attenhofer Jost CH, Oechslin EN et al (2005) Validation of noncompaction criteria in dilated cardiomyopathy, and valvular and hypertensive heart disease. J Am Soc Echocardiogr 18:865–872

    Article  PubMed  Google Scholar 

  3. Ichida F, Tsubata S, Bowles KR et al (2001) Novel gene mutations in patients with left ventricular noncompaction or Barth syndrome. Circulation 103:1256–1263

    PubMed  CAS  Google Scholar 

  4. 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 86:666–671

    Article  PubMed  CAS  Google Scholar 

  5. Kitao K, Ohara N, Funakoshi T et al (2004) Noncompaction of the left ventricular myocardium diagnosed in pregnant woman and neonate. J Perinat Med 32:527–531

    Article  PubMed  Google Scholar 

  6. Maron BJ, Towbin JA, Thiene G et al (2006) Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention. Circulation 113:1807–1816

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. Sasse-Klaassen S, Probst S, Gerull B et al (2004) Novel gene locus for autosomal dominant left ventricular noncompaction maps to chromosome 11p15. Circulation 109:2720–2723

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  10. Vatta M, Mohapatra B, Jimenez S et al (2003) Mutations in Cypher/ZASP in patients with dilated cardiomyopathy and left ventricular non-compaction. J Am Coll Cardiol 42:2014–2027

    Article  PubMed  CAS  Google Scholar 

  11. Wald R, Veldtman G, Golding F, Kirsh J, McCrindle B, Benson L (2004) Determinants of outcome in isolated ventricular noncompaction in childhood. Am J Cardiol 94:1581–1584

    Article  PubMed  Google Scholar 

  12. Weiford BC, Subbarao VD, Mulhern KM (2004) Noncompaction of the ventricular myocardium. Circulation 109:2965–2971

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

The authors acknowledge Dr. E. Lovett for his assistance with diagnosis and management.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nicole R. Dobson.

Additional information

All authors have reviewed and approved this submission. The views expressed are those of the authors and do not reflect the official policy of the Department of Army, Department of Navy, Department of Defense, or U.S. Government.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Apical four chamber view demonstrating impaired contractility and deep intertrabecular recesses (MOV 1356 kb)

246_2009_9465_MOESM2_ESM.mov

Parasternal long axis view demonstrating impaired contractility and deep intertrabecular recesses continuous with the left ventricular cavity. (MOV 1052 kb)

Parasternal short axis view demonstrating impaired contractility (MOV 802 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Richards, A., Mao, C.Y. & Dobson, N.R. Left Ventricular Noncompaction: A Rare Cause of Hydrops Fetalis. Pediatr Cardiol 30, 985–988 (2009). https://doi.org/10.1007/s00246-009-9465-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-009-9465-7

Keywords

Navigation