Transthoracic real-time three-dimensional echocardiography in the diagnosis and description of noncompaction of ventricular myocardium

G. Hamilton Baker, Naveen Luke Pereira, Anthony M. Hlavacek, Karen Chessa, Girish Shirali

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Numerous modalities have been used to diagnose and characterize noncompaction of ventricular myocardium (NCVM) including magnetic resonance imaging, two-dimensional echocardiography (2DE), contrast-enhanced 2DE, and angiography. The current case series examines the use of real-time three-dimensional transthoracic echocardiography (RT-3DE) in four such cases of NCVM. Methods: From December 2003 to March 2004, we performed RT-3DE using a Philips Sonos 7500 echocardiographic scanner equipped with a 2-4 MHz 3D matrix array transthoracic probe, to evaluate four patients with NCVM. The real-time 3D transthoracic probe allows for dataset acquisition in an ultrasound wedge, which can be manipulated instantaneously. In addition, complete 3D volume rendering is acquired, allowing for volumetric imaging. Results: The age range of the patients was 2 months to 42 years. One patient had the codiagnoses of coarctation of the aorta and bicuspid aortic valve. In all four patients, RT-3DE enabled diagnosis and provided detailed characterization of the affected myocardium. Entire trabecular projections and intertrabecular recesses were easily visualized simultaneously, and endocardial borders were clearly demarcated. Wall motion abnormalities of the affected myocardium were clearly visualized. The compacted and noncompacted portions of the myocardium could be differentiated well. Conclusions: Our study provides preliminary data highlighting the utility and feasibility of RT-3DE in the clinical characterization of NCVM. The complex 3D nature of this disorder and the endocardial hypertrabeculation were more readily visualized than with 2DE.

Original languageEnglish (US)
Pages (from-to)490-494
Number of pages5
JournalEchocardiography
Volume23
Issue number6
DOIs
StatePublished - Jul 2006
Externally publishedYes

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Three-Dimensional Echocardiography
Myocardium
Echocardiography
Aortic Coarctation
Angiography
Magnetic Resonance Imaging

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Transthoracic real-time three-dimensional echocardiography in the diagnosis and description of noncompaction of ventricular myocardium. / Baker, G. Hamilton; Pereira, Naveen Luke; Hlavacek, Anthony M.; Chessa, Karen; Shirali, Girish.

In: Echocardiography, Vol. 23, No. 6, 07.2006, p. 490-494.

Research output: Contribution to journalArticle

Baker, G. Hamilton ; Pereira, Naveen Luke ; Hlavacek, Anthony M. ; Chessa, Karen ; Shirali, Girish. / Transthoracic real-time three-dimensional echocardiography in the diagnosis and description of noncompaction of ventricular myocardium. In: Echocardiography. 2006 ; Vol. 23, No. 6. pp. 490-494.
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