Isolated Left Ventricular Noncompaction with a Congenital Aneurysm Presenting with Recurrent Embolism.
10.4250/jcu.2012.20.2.103
- Author:
Jong Hwa AHN
1
;
Jin Sin KOH
;
Jeong Rang PARK
;
Mi Jung PARK
;
Ji Hyun MIN
;
Sang Young CHO
;
Eun Ju LEE
;
Wan Chul KIM
;
Kye Hwan KIM
Author Information
1. Department of Internal Medicine, Gyeongsang National University Hospital, Jinju, Korea. parkjrang@gmail.com
- Publication Type:Case Report
- Keywords:
Left ventricular noncompaction;
Left ventricular aneurysm
- MeSH:
Adult;
Aneurysm;
Cerebral Infarction;
Coronary Artery Disease;
Echocardiography;
Embolism;
Female;
Humans;
Infarction;
Korea;
Magnetic Resonance Imaging;
Thrombosis
- From:Journal of Cardiovascular Ultrasound
2012;20(2):103-107
- CountryRepublic of Korea
- Language:English
-
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.
