We report here a case of streaky fat deposition in the middle layer of the left ventricular myocardium, without any underlying etiology, and this was seen on computed tomography coronary angiography. This report suggests that left ventricular middle layer fat deposition should be investigated in order to determine its etiology, the pathogenesis and the prognosis.

The syndrome of left ventricular dysfunction in patients without obstructive coronary artery disease following central nervous system injury is termed neurogenic stunned myocardium (NSM). It has been described most commonly in association with aneurysmal subarachnoid hemorrhage. Nonspecific electrocardiogram (ECG) abnormalities, elevated troponin I levels, and reversible regional-wall motion ab...

Isolated noncompaction of the left ventricle (LV) is a rare disorder, classified as a primary genetic cardiomyopathy by the American Heart Association. The European Society of Cardiology Working Group on Myocardial and Pericardial Diseases classified LV noncompaction as an unclassified cardiomyopathy. LV noncompaction cardiomyopathy characterized by the following features: 1) an altered myocard...

A 46-year-old female under treatment with flecainide for atrial fibrillation developed cardiopulmonary arrest secondary to ventricular fibrillation during an elective laparoscopic cholecystectomy. The ECG after cardioversion demonstrated a prolonged QTc interval with elevated cardiac enzymes. A diagnosis of Takotsubo cardiomyopathy was made after angiography demonstrated normal coronary arterie...

Correspondence to: Don Poldermans, MD, PhD, Thoraxcentre, Department of Cardiology, Erasmus Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands; [email protected] _________________________ C oronary artery disease is the most common cause of congestive heart failure. More than 70% of the patients with heart failure symptoms have underlying coronary diseas...

Correspondence to: Don Poldermans, MD, PhD, Thoraxcentre, Department of Cardiology, Erasmus Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands; [email protected] _________________________ C oronary artery disease is the most common cause of congestive heart failure. More than 70% of the patients with heart failure symptoms have underlying coronary diseas...

The transition from healthy myocardium to hypertensive heart disease is characterized by a series of poorly understood changes in myocardial tissue microstructure. Incremental alterations in the orientation and integrity of myocardial fibers can be assessed using advanced ultrasonic image analysis. We used a modified algorithm to investigate left ventricular myocardial microstructure based on a...

Cardiac ecchinococcosis is a rare disease. Its incidence varies from 0.02-2%. Commonly seen in the left ventricle arising from the myocardium in the subepicardial region.We report a 15-year-old boy presented with a rare combination of a left ventricular subendocardial hydatid cyst associated with multiple cysts in the left cerebral hemisphere and right posterior occipital lobe. The patient unde...

DESCRIPTION Hypertrabeculation/non-compaction of ventricular myocardium (HVM/NVM) is a cardiomyopathy thought to be caused by arrest of normal embryogenesis of the endocardium and myocardium between the fetal 5th and 8th weeks, resulting in persistence of multiple prominent ventricular trabeculations with deep intertrabecular recesses. The myocardium of the left ventricle is most often affected...

Isolated noncompaction of the ventricular myocardium is an uncommon disorder characterized by an excessively prominent trabecular meshwork seen in the early period of embryogenesis. The clinical presentation of noncompaction includes a high prevalence of heart failure, thromboembolic events and arrhythmias. Echocardiography is the procedure of choice for the diagnosis of noncompaction. We repor...