Left-ventricular non-compaction with congenital left ventricular diverticulum.

Area of Science:

• Cardiology
• Medical Imaging
• Obstetrics

Background:

• Left-ventricular non-compaction (LVNC) is a rare cardiomyopathy.
• It can be isolated or associated with congenital heart defects and non-cardiac anomalies.
• Co-occurrence with left ventricular diverticulum (LVD) is exceptionally rare.

Observation:

• A 30-year-old pregnant woman with a history of biventricular non-compaction was evaluated.
• Transthoracic echocardiography revealed a previously undetected left ventricular apical diverticulum.
• The patient also had a diagnosis of endocervical adenocarcinoma.

Findings:

• The co-existence of LVNC and LVD presents a significant diagnostic challenge.
• Both LVNC and LVD are associated with an increased risk of thromboembolic events.
• The case underscores the potential for concurrent cardiac and non-cardiac pathologies.

Implications:

• Comprehensive echocardiographic assessment is crucial for diagnosing associated anomalies in suspected LVNC cases.
• Early detection of combined LVNC and LVD can guide risk stratification and management.
• This case emphasizes the importance of a holistic approach in managing complex cardiovascular conditions during pregnancy.