Isolated left ventricular noncompaction with a congenital aneurysm presenting with recurrent embolism.
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.
Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea.
Jong-Hwa
JH
Ahn
Jin-Sin
JS
Koh
Jeong Rang
JR
Park
Mi Jung
MJ
Park
Ji Hyun
JH
Min
Sang Young
SY
Cho
Eun Ju
EJ
Lee
Wan Chul
WC
Kim
Kye Hwan
KH
Kim