Embolic complication of left ventricular non-compaction as an unusual cause of acute myocardial infarction.
One of the greatest challenges in medicine consists of arriving at a correct diagnosis despite different presentations of the disease. We present a case in which, notwithstanding the initial diagnosis, the search for the etiology was essential for clinical guidance. Left ventricular non-compaction (LVNC) was first described by Chin et al. in 1990. This relatively new entity is characterized by excessive thickening of the myocardial wall, formed of a thin epicardial layer and a substantially thicker non-compacted endocardial layer. The clinical presentation is highly variable but it must always be borne in mind that heart failure, atrial and ventricular arrhythmias and embolic events are common complications of LVNC.
Centro Hospitalar de São João, Porto, Portugal. marianampaiva@gmail.com
Mariana
M
Paiva
Teresa
T
Pinho
Alexandra
A
Sousa
Ana S
AS
Correia
Carla
C
Sousa
Inês
I
Rangel
Sílvia
S
Oliveira
Maria Júlia
MJ
Maciel
D000368:Aged; D004617:Embolism / Q000150:complications*; D005260:Female; D006801:Humans; D056830:Isolated Noncompaction of the Ventricular Myocardium / Q000150:complications*; D009203:Myocardial Infarction / Q000209:etiology*