Stroke in a Young Individual with Left Ventricular Noncompaction and Left Atrium Standstill

Area of Science:

• Cardiology
• Cardiovascular Diseases
• Cardiac Imaging

Background:

• Isolated left ventricular noncompaction (LVNC) is a rare cardiomyopathy characterized by prominent trabeculae and deep recesses.
• LVNC can lead to serious complications including arrhythmias, heart failure, and systemic embolisms.
• Electrocardiographic findings in LVNC are often non-specific, commonly including conduction delays and hypertrophy.

Purpose of the Study:

• To report the first known case of LVNC incidentally discovered in a patient with recent cerebral infarction.
• To highlight the association of LVNC with spontaneous left atrial standstill.
• To contribute to the understanding of rare presentations of LVNC.

Main Methods:

• Case report.
• Review of patient's medical history and diagnostic findings.
• Echocardiography and electrocardiography interpretation.

Main Results:

• A 29-year-old male presented with recent cerebral infarction.
• Incidental diagnosis of isolated left ventricular noncompaction (LVNC) was made.
• The patient also exhibited spontaneous left atrial standstill, a previously unreported association.

Conclusions:

• This case highlights an unusual presentation of LVNC.
• The co-occurrence of LVNC, cerebral infarction, and left atrial standstill warrants further investigation.
• Further research is needed to elucidate the pathophysiology and clinical implications of such associations.