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KMID : 0390620120200020103
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Journal of Cardiovascular Ultrasound
2012 Volume.20 No. 2 p.103 ~ p.107
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Isolated Left Ventricular Noncompaction with a Congenital Aneurysm Presenting with Recurrent Embolism
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Ahn Jong-Hwa
Koh Jin-Sin
Park Jeong-Rang
Park Mi-Jung
Min Ji-Hyun
Cho Sang-Young
Lee Eun-Ju
Kim Wan-Chul
Kim Kye-Hwan
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Abstract
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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.
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KEYWORD
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Left ventricular noncompaction , Left ventricular aneurysm
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