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Isolated left ventricular non-compaction cardiomyopathy complicated by acute ischemic stroke: A rare case repor

and importance: Isolated left ventricular noncompaction cardiomyopathy (LVNC), uncommon type of primary hereditary cardiomyopathy. It is a spongy morphological appearance of the myocardium that occurs largely in the LV. We discuss here a case of 19 years old female with no known past medical history...

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Published in:Annals of medicine and surgery 2022-09, Vol.81, Article 104543
Main Authors: Ahmed, Said Abdirahman, Karataş, Mesut, öcal, lutfı, Hassan, Mohamed Sheikh, Mohamud, Mohmed Abdullahi, Hassan, Mohamed Omar, Dirie, Abdirahman Mohamed Hassan, Waberi, Mohamud Mire, Ali, Abdijalil Abdullahi
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Language:English
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Summary:and importance: Isolated left ventricular noncompaction cardiomyopathy (LVNC), uncommon type of primary hereditary cardiomyopathy. It is a spongy morphological appearance of the myocardium that occurs largely in the LV. We discuss here a case of 19 years old female with no known past medical history who present with Shortness of breath (SOB) and left sided weakness following delivery. Bedside Echocardiography demonstrated Left ventricular trabiculation with reduced ejection fraction. While brain Computed tomography showed acute ischemic stroke primly due to non-compaction cardiomyopathy as the embolic. Patient was discharged after successfully managed. Left ventricular non-compaction cardiomyopathy (LVNC) is characterized by progressive ventricular trabeculation and deep intratrabecular recesses caused by the functional arrest of myocardial maturation, which is a rare case of congenital cardiomyopathy. Our patient had isolated non-compaction cardiomyopathy of the type that was complicated by an acute ischemic stroke and was treated accordingly. It is usually associated with congenital heart disease, but isolated left ventricular non-compaction cardiomyopathy is very uncommon. •Adults with left ventricular noncompaction are at risk for significant consequences such stroke, HF, arrhythmia, and mortality.•No evidence-based guidelines for preventing thromboembolic events in isolated left ventricular noncompaction.•transthoracic echocardiography remains the most commonly used method for LVNC diagnosis.
ISSN:2049-0801
2049-0801
DOI:10.1016/j.amsu.2022.104543