Noncompaction Cardiomyopathy

 

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  • Example 1
  • Example 2

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This apical 4 chamber view shows a dilated LV with abnormal trabeculation at the apex. Note the diminished EF as well as smoke in the LV.

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Parasternal views near the base show the beginnings of noncompacted myocardium along the inferior and lateral wall.

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Closer to the apex the noncompacted myocardium is more evident with trabeculations seen in the anterolateral wall and inferior wall. The ratio of noncompacted to compacted myocardium here is roughly 2:1.

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A slightly more apical view shows the same.

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Color Doppler shows evidence of color flow within the small crypts in the inferior and lateral walls.

 

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This parasternal long axis view already shows some abnormalities at the apex.

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 An apical view with a closer look at the LV myocardium shows numerous small crypts along non compacted myocardium.

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Note the EF in this case is not as diminished as in example 1. However the non compacted myocardium is quite evident along the apex, anterior wall and inferior wall in this 2 chamber view.

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Color Doppler in this 5 chamber view shows the flow inferior the numerous small crypts.