Pitfalls in the diagnosis of left ventricular hypertrabeculation/non-compaction Export

@article{citeulike:6040949, abstract = {Left ventricular hypertrabeculation/non-compaction (LVHT) is a cardiac abnormality, characterised by >3 trabeculations apically to the papillary muscles and intertrabecular spaces. LVHT may occur with other cardiac abnormalities, heart failure, electrocardiographic abnormalities and neuromuscular disorders. This study gives an overview about (1) patients with LVHT in whom LVHT was initially overlooked and (2) cardiac conditions that may lead to falsely diagnosed LVHT. In 50 reported cases, LVHT has been overlooked and misdiagnosed as dilated (n = 20), hypertrophic (n = 14) or restrictive cardiomyopathy (n = 2), endocardial fibroelastosis (n = 5), endomyocardial fibrosis (n = 1), myocarditis (n = 3), thrombus (n = 2), localised left ventricular hypertrophy (n = 1), left ventricular mass (n = 1) or myocardial/pericardial disease (n = 1). In 14 patients, LVHT was diagnosed only by transoesophageal echocardiography (n = 1), computed tomography (n = 2) ventriculography (n = 2), magnetic resonance imaging (n = 3) or pathoanatomic findings (n = 6). Falsely diagnosed LVHT comprises false tendons, aberrant bands, thrombi, apical hypertrophic cardiomyopathy, fibroma, obliterative processes, intramyocardial haematoma, cardiac metastases and intramyocardial abscesses. Echocardiographers should be more aware of LVHT and consider its differential diagnoses. 10.1136/pgmj.2006.046169}, author = {Stollberger, C. and Finsterer, J.}, citeulike-article-id = {6040949}, citeulike-linkout-0 = {http://dx.doi.org/10.1136/pgmj.2006.046169}, citeulike-linkout-1 = {http://pmj.bmj.com/content/82/972/679.abstract}, citeulike-linkout-2 = {http://pmj.bmj.com/content/82/972/679.full.pdf}, citeulike-linkout-3 = {http://view.ncbi.nlm.nih.gov/pubmed/17068279}, citeulike-linkout-4 = {http://www.hubmed.org/display.cgi?uids=17068279}, day = {1}, doi = {10.1136/pgmj.2006.046169}, issn = {1469-0756}, journal = {Postgrad Med J}, keywords = {non-compaction\_cardiomyopathie}, month = {October}, number = {972}, pages = {679--683}, posted-at = {2009-10-30 08:59:22}, priority = {2}, title = {Pitfalls in the diagnosis of left ventricular hypertrabeculation/non-compaction}, url = {http://dx.doi.org/10.1136/pgmj.2006.046169}, volume = {82}, year = {2006} }

TY - JOUR ID - citeulike:6040949 L3 - citeulike-article-id:6040949 N2 - Left ventricular hypertrabeculation/non-compaction (LVHT) is a cardiac abnormality, characterised by >3 trabeculations apically to the papillary muscles and intertrabecular spaces. LVHT may occur with other cardiac abnormalities, heart failure, electrocardiographic abnormalities and neuromuscular disorders. This study gives an overview about (1) patients with LVHT in whom LVHT was initially overlooked and (2) cardiac conditions that may lead to falsely diagnosed LVHT. In 50 reported cases, LVHT has been overlooked and misdiagnosed as dilated (n = 20), hypertrophic (n = 14) or restrictive cardiomyopathy (n = 2), endocardial fibroelastosis (n = 5), endomyocardial fibrosis (n = 1), myocarditis (n = 3), thrombus (n = 2), localised left ventricular hypertrophy (n = 1), left ventricular mass (n = 1) or myocardial/pericardial disease (n = 1). In 14 patients, LVHT was diagnosed only by transoesophageal echocardiography (n = 1), computed tomography (n = 2) ventriculography (n = 2), magnetic resonance imaging (n = 3) or pathoanatomic findings (n = 6). Falsely diagnosed LVHT comprises false tendons, aberrant bands, thrombi, apical hypertrophic cardiomyopathy, fibroma, obliterative processes, intramyocardial haematoma, cardiac metastases and intramyocardial abscesses. Echocardiographers should be more aware of LVHT and consider its differential diagnoses. 10.1136/pgmj.2006.046169 IS - 972 JF - Postgrad Med J SN - 1469-0756 EP - 683 TI - Pitfalls in the diagnosis of left ventricular hypertrabeculation/non-compaction VL - 82 SP - 679 KW - non-compaction_cardiomyopathie AU - Stollberger, C AU - Finsterer, J PY - 2006/10/01/ UR - http://dx.doi.org/10.1136/pgmj.2006.046169 ER -