Published in:
01-12-2019 | Cardiomyopathy | Imaging in Intensive Care Medicine
Weaning failure due to left ventricular non-compaction myocardium
Published in: Intensive Care Medicine | Issue 12/2019
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A 26-year-old woman without previously known cardiac disease was referred to our ICU due to refractory heart failure and impossibility to be weaned from mechanical ventilation. Echocardiography, performed by a skilled intensivist, showed a dilated left ventricle with prominent trabeculae and deep inter-trabecular recesses involving apical, inferior, and lateral walls suggestive of left ventricular non-compaction (LVNC). Systolic and diastolic dysfunctions were also present, together with severe mitral regurgitation. The patients finally died due to refractory cardiogenic shock (Fig. 1).
Fig. 1
Short-axis view of a patient with isolated LVNC. a End-systolic still-frame showing a two-layer structure of thickened myocardium. b, c Inter-trabecular recesses filled with blood from left ventricular cavity. d Trans-sectional view of heart with severe isolated LVNC showing a two-layer structure of the myocardial wall with an epicardial compacted and endocardial non-compacted layer
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