A 29 year old male with end stage renal disease on dialysis, now diagnosed with hear failure with biventricular dysfunction and echocardiographic suspicion of non-compaction cardiomyopathy. Referred to cardiac for further evaluation. Left VentricleThe left ventricle is severely dilated with moderate to severe systolic dysfunction. The overall LV ejection fraction is 33%, the LV end diastolic volume index is 158 ml/m2 (normal range: 74+/-15), the LVEDV is 275 ml (normal range 142+/-34), the LV end systolic volume index is 106 ml/m2 (normal range 25+/-9), the LVESV is 185 ml (normal range 47+/-19), the LV mass index is 98 g/m2 (normal range 85+/-15), and the LV mass is 170 g (normal range 164+/-36). There is global dysfunction with regional variation. There is mild hypertrophy (up to 12mm). The trabeculation pattern does not meet criteria for noncompaction.Left AtriumThe left atrium is moderately dilated. Right VentricleThe right ventricle is mildly dilated with mild to moderate systolic dysfunction. The overall RV ejection fraction is 40%, the RV end diastolic volume index is 125 ml/m2 (normal range 82+/-16), the RVEDV is 218 ml (normal range 142+/-31), the RV end systolic volume index is 75 ml/m2 (normal range 31+/-9), and the RVESV is 131 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is trace pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is trace tricuspid regurgitation.AortaThere is a left sided aortic arch with a common origin of innominate and left common carotid artery. The aortic root is normal in size.Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium.PericardiumThere is a small pericardial effusion.
1. The left ventricle is severely dilated with moderate to severe systolic dysfunction, the LVEF is 33%. There is global dysfunction with regional variation. There is mild hypertrophy (up to 12mm). Prominent trabeculae without meeting criteria for non-compaction cardiomyopathy.2. The right ventricle is mildly dilated with mild to moderate systolic dysfunction, the RVEF is 40%. 3. The left atrium is moderately dilated. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.