Singh Neha, Aga Pallavi, Singh Ragini, Tiwari Bhuwan
Department of Radiodiagnosis, King George Medical University (erstwhile CSMMU), Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2013 Jan 9;2013:bcr2012008104. doi: 10.1136/bcr-2012-008104.
Non-compaction of ventricular myocardium (NVM) is a rare clinical entity. It has been reported more frequently in recent years because of continuous improvements in imaging techniques and resolution. Although apical region of the left ventricle is the most commonly involved site, biventricular involvement has also been reported in the published literature. This abnormality is often associated with other congenital cardiac and extracardiac anomalies. We describe such a case, incidentally detected and documented by the combination of echocardiography and multidetector CT coronary angiography. In our case, NVM was associated with Cor-triatriutum, ventricular septal defect, persistent left superior vena cava and an anomalous extracardiac vessel. Synchronous association of all these anomalies in a child has never been reported in the literature.
心室肌致密化不全(NVM)是一种罕见的临床病症。近年来,由于成像技术和分辨率的不断提高,其报告频率有所增加。虽然左心室心尖区域是最常受累的部位,但文献中也报道了双心室受累的情况。这种异常通常与其他先天性心脏和心外异常有关。我们描述了这样一例病例,通过超声心动图和多排CT冠状动脉造影相结合偶然发现并记录下来。在我们的病例中,NVM与三房心、室间隔缺损、永存左上腔静脉和一条心外异常血管有关。文献中从未报道过一名儿童同时出现所有这些异常的情况。