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Left Ventricular Non-compaction Cardiomyopathy and Polycystic Kidney Disease Revealed by Inappropriate Polycythemia: A Fortuitous Association? Case Report


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Figure 1

Two-dimensional parasternal short axis echocardiography (end-systolic frame)—note the thickness of the lateral wall, which appears trabeculated
Two-dimensional parasternal short axis echocardiography (end-systolic frame)—note the thickness of the lateral wall, which appears trabeculated

Figure 2

Cardiac magnetic resonance imaging showing left ventricular non-compaction criteria
Cardiac magnetic resonance imaging showing left ventricular non-compaction criteria

Figure 3

Abdominal ultrasound showing bilateral polycystic kidney disease: (a) Right kidney; (b) Left kidney
Abdominal ultrasound showing bilateral polycystic kidney disease: (a) Right kidney; (b) Left kidney

Figure 4

Algorithm for the evaluation of patients with erythrocytosis
Algorithm for the evaluation of patients with erythrocytosis

Blood tests results

Test Day 1 Day 3 Day 7
Hemoglobin (g/dl) 18 18.7 17.8
Erythrocyte count (x106/mm3) 6.17 6.47 6.24
Hematocrit (%) 56 58.7 55.8
Uric acid (mg/dl) 9.68
Creatinine (mg/dl) 1.48 1.43 1.42
eRFG (ml/min/1.73m2) 52 54 54
NT-proBNP (pg/ml) 2346
hs-cTnI (pg/ml) 23.4 20.8 15.3
O2 pressure in arterial blood (mmHg) 80 87 92
Erythropoietin (IU/L) 40 (N:4.3-29)

Diagnostic criteria for left ventricular non-compaction cardiomyopathy

Criteria Description
Echocardiographic criteria

Chin et al. [11] 1. Prominent trabeculations, deep recesses
2. LV free-wall thickness (ED) augmentation from base to apex
3. Gradual reduction in the X:Y ratio of myocardial thickness from the mitral valve level to the papillary muscle level (PSAX and apical views)
X – from the epicardial surface to the bottom of the trabeculations
Y – from the epicardial surface to the top of the trabeculations

Stöllberger and Finsterer [12] 1. Two-layered myocardium with the non-compacted layer thicker than the compacted myocardial layer (ED)
2. >3 trabeculations bulging from the LV apical wall to the papillary muscle
3. Intertrabecular spaces perfused

Jenni et al. [13] 1. Bilayered myocardium, multiple prominent trabeculations (ES)
2. Non-compacted to compacted ratio >2:1
3. LV cavity communication with the intertrabecular spaces demonstrated by color Doppler
4. No coexisting cardiac abnormalities

MRI criteria

Petersen et al. [14] Non-compacted to compacted ratio >2.3 (ED)

Jacquier et al. [15] LV trabecular mass >20% of the global mass
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