Magnetic resonance imaging in the diagnosis of non-compact right ventricular myocardium complicated by pulmonary embolism


DOI: https://dx.doi.org/10.18565/therapy.2021.6.104-108

Oleynikov V.E., Donetskaya N.A., Vdovkin A.V.

1) Penza State University; 2) N.N. Burdenko Penza Regional Clinical Hospital
Abstract. Non-compact right ventricular myocardium is a rare type of cardiomyopathy, it usually results from arrested myocardial development during embryogenesis. This diseasecan be characterized by excessive prominent trabeculations and deep inter-trabecular recesses in the ventricular wall. It might be a component of biventricular non-compact cardiomyopathy or an isolated form. Here we report on a case of 40-year-old male patient with isolated NMRV with a cardioembolic events.

Literature



  1. Oechslin E.N., Attenhofer Jost C.H., Roojas I.R. et al. Long-term follow-up of 34 adults with isolated left ventricular noncompaction: a distinct cardiomyopathy with poor prognosis. J Am Coll Cardiol. 2000; 36(2): 493–500. doi: 10.1016/s0735-1097(00)00755-5.

  2. Burke A., Mont E., Kutys R., Virmani R. Left ventricular noncompaction: a pathological study of 14 cases. Hum Pathol. 2005; 36(4): 403–11. doi: 10.1016/j.humpath.2005.02.004.

  3. Ghandi Y., Mehrabi S. Right ventricular non-compaction cardiomyopathy in children: Brief review literature. Int J Pediatr. 2020; 8(7): 11719–25. doi: 10.22038/IJP.2020.45397.3725.

  4. Aggarwal S., Kalavakunta J., Gupta V. A case of isolated right ventricle noncompaction with ST-elevation chest leads. Heart Views. 2016; 17(1): 30–34. doi: 10.4103/1995-705X.182645.

  5. Bekheit S., Karam B., Daneshvar F. et al. Sudden cardiac death in isolated right ventricular hypertrabeculation/noncompaction cardiomyopathy. Ann Noninvasive Electrocardiol. 2018; 23(4): e12487. doi: 10.1111/anec.12487.

  6. Fazio G., Lunetta M., Grassedonio E. et al. Noncompaction of the right ventricle. Pediatr Cardiol. 2010; 31(4): 576–78. doi: 10.1007/s00246-010-9652-6.

  7. Maheshwari M., Gokroo R.K., Kaushik S.K. Isolated non-compacted right ventricular myocardium. J Assoc Physicians India. 2012; 60: 56–57.

  8. Rambhatla T., Mountantonakis S., Bhasin K. et al. Ventricular tachycardia due to isolated non-compaction of the right ventricle. Eur Heart J Cardiovasc Imaging. 2018; 19(8): 878. doi: 10.1093/ehjci/jey068.

  9. Marcus F.I., McKenna W.J., Sherrill D. et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation. 2010; 121(13): 1533–1541. doi: 10.1161/CIRCULATIONAHA.108.840827.

  10. Cao, Y., Zhang, X., Qiu, B. et al. Isolated right ventricular noncompaction caused recurrent pulmonary embolism. J Geriatr Cardiol. 2018; 15(5): 382–86. doi: 10.11909/j.issn.1671-5411.2018.05.010.

  11. Ivanov A., Dabiesingh D.S., Bhumireddy G.P. et al. Prevalence and prognostic significance of left ventricular noncompaction in patients referred for cardiac magnetic resonance imaging. Circ Cardiovasc Imaging. 2017; 10(9): e006174. doi: 10.1161/CIRCIMAGING.117.006174.

  12. Ерохина М.Г., Стукалова О.В., Синицин В.Е. с соавт. Результаты эхокардиографического и магнитно-резонансного исследования сердца у больных некомпактным миокардом левого желудочка. Кардиология. 2009; 4: 25–28 [Erokhina M.G., Stukalova O.V., Sinitsin V.E. et al. Results of echocardiographic and magnetic resonance examination of the heart in patients with non-compact left ventricular myocardium. Kardiologiya = Cardiology. 2009; 4: 25–28 (In Russ.)].

  13. Lilje C., Razek V., Joyce J.J. et al. Complications of non-compaction of the left ventricular myocardium in a paediatric population: a prospective study. Eur Heart J. 2006; 27(15): 1855–60. doi: 10.1093/eurheartj/ehl112.

  14. Бокерия О.Л., Ле Т.Г. Аритмогенная дисплазия правого желудочка. Анналы аритмологии. 2015; 2: 89–99. [Bokeria O.L., Le T.G. Arrhythmogenic dysplasia of the right ventricle. Annaly aritmologii = Annals of Arrhythmology. 2015; 2: 89–99 (In Russ.)]. doi: https://dx.doi.org/10.15275/annaritmol.2015.2.4.

  15. Голухова Е.З. Аритмогенная дисплазия/кардиомиопатия правого желудочка. Анналы аритмологии. 2008; 3: 14–15. [Golukhova E.Z. Arrhythmogenic dysplasia/cardiomyopathy of the right ventricle. Annaly aritmologii = Annals of Arrhythmology. 2008; 3: 14–15 (In Russ.)].


About the Autors


Valentin E. Oleynikov, MD, professor, head of the Department of therapy of the Faculty of general medicine, Penza State University. Address: 440026, Penza, 28/7 Lermontova Str. Tel.: +7 (8412) 59-18-61. E-mail: v.oleynikof@gmail.com. ORCID: 0000-0002-7463-9259
Natalia A. Donetskaya, radiologist, head of the Department of radiation diagnostics, N.N. Burdenko Penza Regional Clinical Hospital. Address: 440026, Penza, 28 Lermontova Str. Tel.: +7 (8412) 58-18-46. E-mail: otdelenield@yandex.ru
Alexander V. Vdovkin, radiologist of the Department of radiation diagnostics, N.N. Burdenko Penza Regional Clinical Hospital. Address: 440026, Penza, 28 Lermontova Str. Tel.: +7 (8412) 59-18-57. E-mail: otdelenield@yandex.ru


Бионика Медиа