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Idiopathic left ventricular apical hypoplasia

Ali Raza1, Mohammad Waleed, Matthew Balerdi

  • 1Department of Cardiology, Castle Hill Hospital, East Yorkshire, UK.

BMJ Case Reports
|March 4, 2014
PubMed

Insights

A routine ECG revealed abnormalities in a 46-year-old man with chest discomfort. Further investigation suggested possible left ventricular hypoplasia, a rare congenital heart condition.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Diagnostic Imaging

Background:

  • A 46-year-old male presented with non-specific central chest discomfort during a routine health check.
  • Electrocardiogram (ECG) revealed sinus rhythm, normal axis, poor R wave progression, and lateral T wave flattening.

Observation:

  • Echocardiogram demonstrated a dilated left ventricle with a thinned, hypokinetic septum exhibiting rightward bulging.
  • The left ventricular apex appeared thin and hypokinetic.
  • Right heart structures and valves were within normal limits.

Findings:

  • The echocardiographic findings were suggestive of left ventricular hypoplasia.
  • The combination of ECG abnormalities and ventricular morphology prompted further investigation.

Implications:

  • This case highlights the importance of considering rare congenital conditions in adult patients presenting with atypical cardiac symptoms.
  • Early diagnosis and investigation of left ventricular hypoplasia are crucial for appropriate management.
  • Further research into the presentation and long-term outcomes of adult-onset left ventricular hypoplasia is warranted.

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