A Case of Left Ventricular Noncompaction Accompanying Fasciculo-Ventricular Accessory Pathway and Atrial Flutter.
10.4070/kcj.2012.42.10.705
- Author:
Sun Mie YIM
1
;
Sung Won JANG
;
Hyun Ji CHUN
;
Su Jung KIM
;
Kyu Young CHOI
;
Beom June KWON
;
Dong Bin KIM
;
Eun Joo CHO
;
Man Young LEE
;
Tai Ho RHO
;
Jae Hyung KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. clement@naver.com
- Publication Type:Case Report
- Keywords:
Isolated noncompaction of the ventricular myocardium;
Mitral valve insufficiency;
Pre-excitation, Mahaim-type;
Atrial flutter
- MeSH:
Arrhythmias, Cardiac;
Atrial Fibrillation;
Atrial Flutter;
Atrioventricular Block;
Cardiomyopathies;
Catheter Ablation;
Echocardiography;
Heart Failure;
Humans;
Isolated Noncompaction of the Ventricular Myocardium;
Mitral Valve Insufficiency;
Myocardium;
Pre-Excitation, Mahaim-Type;
Tachycardia;
Wolff-Parkinson-White Syndrome
- From:Korean Circulation Journal
2012;42(10):705-708
- CountryRepublic of Korea
- Language:English
-
Abstract:
Left ventricular hypertrabeculation/noncompaction (LVHT) is an uncommon type of genetic cardiomyopathy characterized by trabeculations and recesses within the ventricular myocardium. LVHT is associated with diastolic or systolic dysfunction, thromboembolic complications, and arrhythmias, including atrial fibrillation, ventricular arrhythmias, atrioventricular block and Wolff-Parkinson-White syndrome. Herein, we describe a patient who presented with heart failure and wide-complex tachycardia. Echocardiography showed LVHT accompanied with severe mitral regurgitation. The electrophysiologic study revealed a fasciculo-ventricular accessory pathway and atrial flutter (AFL). The AFL was successfully treated with catheter ablation.
