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

Said Abdirahman Ahmed1, Mesut Karataş1, Lütfi Öcal1

  • 1Cardiology Department at Mogadishu Somali-Turkish Training and Research Hospital, Mogadishu, Somalia.

Annals of Medicine and Surgery (2012)
|September 23, 2022
PubMed

Insights

Isolated left ventricular noncompaction cardiomyopathy (LVNC) is a rare condition. This case highlights LVNC presenting as an acute ischemic stroke in a young woman post-delivery.

Area of Science:

  • Cardiology
  • Neurology
  • Genetics

Background:

  • Left ventricular noncompaction cardiomyopathy (LVNC) is a rare congenital cardiomyopathy characterized by excessive myocardial trabeculation.
  • Isolated LVNC, without other congenital heart defects, is particularly uncommon.
  • LVNC can present with various symptoms, including heart failure and thromboembolic events.

Observation:

  • A 19-year-old female with no prior medical history presented with shortness of breath and left-sided weakness post-delivery.
  • Echocardiography revealed left ventricular trabeculation and reduced ejection fraction.
  • Brain CT identified an acute ischemic stroke, attributed to emboli originating from noncompaction cardiomyopathy.

Findings:

  • The patient's presentation of acute ischemic stroke was a direct complication of isolated left ventricular noncompaction cardiomyopathy.
  • This case underscores the potential for LVNC to cause significant embolic events, even in young individuals.
  • Successful management and discharge were achieved following appropriate medical intervention.

Implications:

  • Early diagnosis and recognition of LVNC are crucial, especially in patients presenting with stroke.
  • This case emphasizes the need for comprehensive cardiac evaluation in young stroke patients.
  • Further research into the thromboembolic risks associated with isolated LVNC may improve patient outcomes.
Abstract

Keywords:
CardiomyopathyElectrocardiographyHolter monitoringNon-compaction cardiomyopathyNon-sustained ventricular tachycardia

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