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Main page :: Forum :: Ultrasound cases - Sonograms, cine-loops etc. ::

Left & right ventricular non-compaction





Tags: Cardiac sonography(Echocardiography), Medison Sonoace R7, Images, Video, Clinical report, Pediatric

   Posts
 
  Left & right ventricular non-compaction
#1

    A child of 10 years old, in the EMR a diagnosis of VSD of the muscular part of 2 mm is indicated.

    According to the accompanying person child was observed in one Moscow Children' s Clinical Hospital with this diagnosis, where they said that it was okay, but they did not recommend sports. Child play sports before.

    At the current ultrasound, the wall of the LV (mainly posterior-lateral) with an uneven internal contour of the type of polyps with the bulbous spaces between, which are stained on the CFM. In the center of IVS anechoic spaces are visualized, presumably communicating with each other and with the RV cavity, in some oblique views dividing IVS into two parts, especially in 2ch positions, creating the appearance of perimembranous VSD or two IVS near (noncompact myocardium?).

    The aortic valve opens as a two-leaf valve.

    At CFM also visualized the regurgitation of 2-3st. at the TV.

    With the red stream at the apex, I still could not decide whether it was a muscular VSD or another area of the noncompact myocardium in the RV.

    external link

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  11:17 23-04-2020
  apical-basal muscle bundle
#2

    "The apical-basal muscle bundle refers to an accessory papillary muscle or muscle bundle that extends from the LV apex and inserts into the basal myocardium without insertion into the mitral leaflet. This condition is commonly present in patients with HCM (63%) and in gene-positive family members (60% vs 10% of controls)."

    external link

    So its supposed that at the following image - one part is the IVS and the other - the "apical-basal muscle bundle":