Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm

A 44-year-old man was admitted to our hospital due to heart failure. Transthoracic echocardiography demonstrated global hypokinesis with an ejection fraction of 25%, prominent trabeculation and deep intertrabecular recesses, and apical aneurysm with multiple thrombi (10×13 mm in the inferior wall, 1...

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Autores principales: Yakabe, Daisuke, Matsushima, Shouji, Uchino, Saori, Ohtani, Kisho, Ide, Tomomi, Higo, Taiki, Tsutsui, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7028405/
https://www.ncbi.nlm.nih.gov/pubmed/31645531
http://dx.doi.org/10.2169/internalmedicine.3489-19
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author Yakabe, Daisuke
Matsushima, Shouji
Uchino, Saori
Ohtani, Kisho
Ide, Tomomi
Higo, Taiki
Tsutsui, Hiroyuki
author_facet Yakabe, Daisuke
Matsushima, Shouji
Uchino, Saori
Ohtani, Kisho
Ide, Tomomi
Higo, Taiki
Tsutsui, Hiroyuki
author_sort Yakabe, Daisuke
collection PubMed
description A 44-year-old man was admitted to our hospital due to heart failure. Transthoracic echocardiography demonstrated global hypokinesis with an ejection fraction of 25%, prominent trabeculation and deep intertrabecular recesses, and apical aneurysm with multiple thrombi (10×13 mm in the inferior wall, 15×8 mm in the anterior wall). Cardiac magnetic resonance imaging showed an increased ratio of noncompacted (NC) to compacted (C) myocardium (NC/C ratio >2.3) and apical aneurysm. Coronary angiography revealed no significant stenosis. He was therefore diagnosed with left ventricular noncompaction complicated by apical aneurysm. Four weeks after starting anticoagulation, the multiple apical thrombi disappeared without clinical signs of embolism.
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spelling pubmed-70284052020-02-26 Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm Yakabe, Daisuke Matsushima, Shouji Uchino, Saori Ohtani, Kisho Ide, Tomomi Higo, Taiki Tsutsui, Hiroyuki Intern Med Case Report A 44-year-old man was admitted to our hospital due to heart failure. Transthoracic echocardiography demonstrated global hypokinesis with an ejection fraction of 25%, prominent trabeculation and deep intertrabecular recesses, and apical aneurysm with multiple thrombi (10×13 mm in the inferior wall, 15×8 mm in the anterior wall). Cardiac magnetic resonance imaging showed an increased ratio of noncompacted (NC) to compacted (C) myocardium (NC/C ratio >2.3) and apical aneurysm. Coronary angiography revealed no significant stenosis. He was therefore diagnosed with left ventricular noncompaction complicated by apical aneurysm. Four weeks after starting anticoagulation, the multiple apical thrombi disappeared without clinical signs of embolism. The Japanese Society of Internal Medicine 2019-10-24 2020-02-01 /pmc/articles/PMC7028405/ /pubmed/31645531 http://dx.doi.org/10.2169/internalmedicine.3489-19 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yakabe, Daisuke
Matsushima, Shouji
Uchino, Saori
Ohtani, Kisho
Ide, Tomomi
Higo, Taiki
Tsutsui, Hiroyuki
Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title_full Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title_fullStr Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title_full_unstemmed Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title_short Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm
title_sort left ventricular noncompaction with multiple thrombi in apical aneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7028405/
https://www.ncbi.nlm.nih.gov/pubmed/31645531
http://dx.doi.org/10.2169/internalmedicine.3489-19
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