Non-compact right ventricular myocardium – diagnostic and clinical features: A review

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Abstract

Non-compact right ventricular myocardium is a rare type of cardiomyopathy, it usually results from arrested myocardial development during embryogenesis. This disease can be characterized by excessive prominent trabeculations and deep inter-trabecular recesses in the ventricular wall. It might be a component of biventricular non-compact cardiomyopathy or an isolated form. The article presents a review of the literature on the clinic and radiation diagnostics of non-compact right ventricular myocardium with the presentation of the issues of differential diagnosis.

About the authors

Valentin E. Oleynikov

Penza State University

Author for correspondence.
Email: terapia-pgu@rambler.ru
ORCID iD: 0000-0002-7463-9259

д-р мед. наук, проф., зав. каф. терапии Медицинского института

Russian Federation, Penza

Natalia A. Donetskaya

Burdenko Penza Regional Clinical Hospital

Email: otdelenield@yandex.ru
ORCID iD: 0000-0001-6423-6889

зав. отд-нием лучевой диагностики

Russian Federation, Penza

Alexander V. Vdovkin

Burdenko Penza Regional Clinical Hospital

Email: otdelenield@yandex.ru
ORCID iD: 0000-0002-0142-381X

врач-рентгенолог отд-ния лучевой диагностики

Russian Federation, Penza

Anastasia V. Babina

Penza State University

Email: anastasya.babina@gmail.com
ORCID iD: 0000-0001-6280-6120

аспирант каф. терапии Медицинского института

Russian Federation, Penza

Irina V. Avdeeva

Penza State University

Email: terapia-pgu@rambler.ru
ORCID iD: 0000-0003-4266-5900

канд. мед. наук, доц. каф. терапии Медицинского института

Russian Federation, Penza

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2. Fig. 1. a – magnetic resonance imaging (MRI) of the heart, four-chamber projection. The arrow is the border of the non-compact myocardium in the apical pancreas; b – MRI of the heart, projection of the left ventricular outflow tract. The arrow is the border of the non-compacted myocardium in the basal sections of the right ventricle.

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3. Fig. 2. MRI of the heart, projections along the short axis: a – apical sections; b – middle sections; c – basal sections. The severity of non-compact myocardium in different parts of the right ventricle.

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4. Fig. 3. MRI for arrhythmogenic right ventricular dysplasia: a – areas of fatty infiltration in native scanning; b – fibrotic changes in post-contrast examination; c – increased trabecularity of the right ventricle.

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5. Fig. 4. MRI in chronic cor pulmonale: a – areas of fibrosis at the base of the interventricular septum; b – hypertrophy of the wall of the right ventricle with thickened trabeculae of the right ventricle.

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