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Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report

BACKGROUND: Left ventricular non-compaction (LVNC) cardiomyopathy is a persistence of abnormal foetal myocardium and is a rare cause of cardiomyopathy in the peripartum period. Unlike other causes of peripartum cardiomyopathy which typically improve, LVNC has significant long-term personal and famil...

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Autores principales: Evans, Emily, McDonald, Mandy, Adamson, Dawn L, Khan, Jamal Nasir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983311/
https://www.ncbi.nlm.nih.gov/pubmed/33768196
http://dx.doi.org/10.1093/ehjcr/ytab088
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author Evans, Emily
McDonald, Mandy
Adamson, Dawn L
Khan, Jamal Nasir
author_facet Evans, Emily
McDonald, Mandy
Adamson, Dawn L
Khan, Jamal Nasir
author_sort Evans, Emily
collection PubMed
description BACKGROUND: Left ventricular non-compaction (LVNC) cardiomyopathy is a persistence of abnormal foetal myocardium and is a rare cause of cardiomyopathy in the peripartum period. Unlike other causes of peripartum cardiomyopathy which typically improve, LVNC has significant long-term personal and family implications and needs lifelong follow-up. CASE SUMMARY: We describe a unique case of a 30-year-old woman who developed cardiomyopathy in the peripartum period which was revealed on cardiovascular magnetic resonance imaging to be due to occult LVNC. Our patient also had Ebstein’s anomaly, which is a known LVNC association. DISCUSSION: Cardiomyopathy in the peripartum period can be a decompensation of previously asymptomatic subclinical cardiomyopathy. It is important to assess for LVNC in patients presenting with this. Cardiovascular magnetic resonance imaging is the gold-standard imaging modality and allows accurate diagnosis of LVNC, associated structural complications and rare associations such as Ebstein’s anomaly. Left ventricular non-compaction is irreversible and has implications for patients and their family members.
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spelling pubmed-79833112021-03-24 Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report Evans, Emily McDonald, Mandy Adamson, Dawn L Khan, Jamal Nasir Eur Heart J Case Rep Case Report BACKGROUND: Left ventricular non-compaction (LVNC) cardiomyopathy is a persistence of abnormal foetal myocardium and is a rare cause of cardiomyopathy in the peripartum period. Unlike other causes of peripartum cardiomyopathy which typically improve, LVNC has significant long-term personal and family implications and needs lifelong follow-up. CASE SUMMARY: We describe a unique case of a 30-year-old woman who developed cardiomyopathy in the peripartum period which was revealed on cardiovascular magnetic resonance imaging to be due to occult LVNC. Our patient also had Ebstein’s anomaly, which is a known LVNC association. DISCUSSION: Cardiomyopathy in the peripartum period can be a decompensation of previously asymptomatic subclinical cardiomyopathy. It is important to assess for LVNC in patients presenting with this. Cardiovascular magnetic resonance imaging is the gold-standard imaging modality and allows accurate diagnosis of LVNC, associated structural complications and rare associations such as Ebstein’s anomaly. Left ventricular non-compaction is irreversible and has implications for patients and their family members. Oxford University Press 2021-03-22 /pmc/articles/PMC7983311/ /pubmed/33768196 http://dx.doi.org/10.1093/ehjcr/ytab088 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Evans, Emily
McDonald, Mandy
Adamson, Dawn L
Khan, Jamal Nasir
Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title_full Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title_fullStr Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title_full_unstemmed Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title_short Cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with Ebstein’s anomaly: a case report
title_sort cardiomyopathy in the peripartum period due to left ventricular non-compaction and association with ebstein’s anomaly: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983311/
https://www.ncbi.nlm.nih.gov/pubmed/33768196
http://dx.doi.org/10.1093/ehjcr/ytab088
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