title: A rare malady with a rarer complication.
abstract: Isolated ventricular noncompaction (IVNC) is an unclassified cardiomyopathy characterized by prominent intraventricular trabeculations separated by deep intertrabecular recesses. Although microvascular dysfunction is known, myocardial infarction is rare and usually seen as a consequence of coincidental coronary artery disease. We report the case of a 19-year-old male patient who presented to us with symptoms and signs of heart failure. Echocardiography revealed IVNC with severe left ventricular dysfunction. He was put on medical treatment including oral anticoagulants. Six months later, he came to our emergency department with anterior wall STEMI. Coronary angiogram revealed thrombotic occlusion of distal LAD, which resolved completely with tirofiban and heparin. Coronary thromboembolism due to blood stasis in the left ventricular cavity has not been previously documented in IVNC.
authors.affiliation: Department of Cardiology, Sahakarna Hrudalaya, Pariyarum Medical College, Kannur, Kerala, India. Electronic address: arungopi@gmail.com.
authors.forename: Arun
authors.initials: A
authors.lastname: Gopi
authors.affiliation: Department of Cardiology, Sahakarna Hrudalaya, Pariyarum Medical College, Kannur, Kerala, India.
authors.forename: Placid
authors.initials: P
authors.lastname: Sebastian
authors.affiliation: Department of Cardiology, Sahakarna Hrudalaya, Pariyarum Medical College, Kannur, Kerala, India.
authors.forename: C D
authors.initials: CD
authors.lastname: Ramakrishna
mesh_terms: D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D018618:Echocardiography, Doppler, Color; D019560:Echocardiography, Three-Dimensional; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D056830:Isolated Noncompaction of the Ventricular Myocardium / Q000150:complications* / Q000175:diagnosis; D008297:Male; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015912:Thrombolytic Therapy; D055815:Young Adult
chemical_list: D005343:Fibrinolytic Agents
keywords: Coronary thromboembolism; Heart failure; Isolated ventricular noncompaction; Myocardial infarction