Affordable Access

Publisher Website

Isolated Left Ventricular Noncompaction with a Congenital Aneurysm Presenting with Recurrent Embolism

Authors
Journal
Journal of Cardiovascular Ultrasound
1975-4612
Publisher
Korean Society of Echocardiography (KAMJE)
Publication Date
Volume
20
Issue
2
Identifiers
DOI: 10.4250/jcu.2012.20.2.103
Keywords
  • Case Report
Disciplines
  • Medicine

Abstract

Isolated left ventricular noncompaction (LVNC) is a rare disorder caused by embryonic arrest of compaction. LVNC is sometimes associated with other congenital cardiac disorders; however, there have been few reports of its coexistence with a left ventricular aneurysm. A 40-year-old woman was admitted to our hospital for renal infarction. She had a history of embolic cerebral infarction 10 years ago. Transthoracic echocardiography showed prominent trabeculae and deep intertrabecular recesses which are filled with blood from the left ventricular (LV) cavity. A thrombus in the akinetic apical wall was confirmed by contrast echocardiography. Using cardiac computed tomography and magnetic resonance imaging, we rejected a possible diagnosis of suspicion of coronary artery disease. She was diagnosed LVNC with a thrombus in apical aneurysm. Here, we report the first patient in Korea known to have LVNC accompanying LV congenital aneurysm presenting with recurrent embolism.

There are no comments yet on this publication. Be the first to share your thoughts.