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[Isolated left ventricular noncompaction in the elderly: a case report].
Atsuo Takashima1, Masatoshi Shimizu, Kazuhiro Tatsumi
1Department of Internal Medicine, Kobe National Hospital, Kobe.
Journal of Cardiology
|September 1, 2004
Summary
This study reports the case of an 83-year-old man diagnosed with isolated noncompaction of the ventricular myocardium, a rare congenital heart condition. His heart failure symptoms improved with medication, highlighting potential adult manifestations of this disorder.
Area of Science:
- Cardiology
- Medical Imaging
- Genetics
Background:
- Isolated noncompaction of the ventricular myocardium (IVM) is a rare congenital cardiomyopathy.
- Typically diagnosed in infancy, IVM has a high mortality rate.
- Adult cases of IVM are infrequently reported.
Observation:
- An 83-year-old male patient presented with dyspnea and pacemaker implantation.
- Echocardiography and CT revealed left ventricular dilation, hypokinesis, and prominent ventricular trabeculations.
- Scintigraphy showed fixed defects in the inferior wall.
Findings:
- Diagnostic imaging confirmed findings consistent with isolated noncompaction of the ventricular myocardium.
- The patient exhibited symptoms mimicking dilated cardiomyopathy.
- This case represents the oldest reported patient with IVM.
Implications:
- This case expands the known age spectrum for isolated noncompaction of the ventricular myocardium.
- It suggests that IVM can present in advanced age with potentially manageable heart failure symptoms.
- Further research into adult IVM is warranted to understand its prevalence and long-term outcomes.