In Utero Detection and Postnatal Follow-up of a Case of LV Non-compaction

Abstract

22-year-old lady para 1 with a medical history of Diabetes Melitus (recently detected, poorly controled) on insulin Level I ultrasound showed no cardiac abnormality on cardiac screening with normal 4 ch and outflow tracts. Fetal echo at 24 weeks showed the presence of LVNC with LV dysfunction. The patient was counseled and prognosticated. Genetic studies are advised. She continued and was delivered by LUCS. A 3.4 kg, male baby with normal Apgar was born. After an uneventful neonatal period, on folow up the echo confirmed the presence of LVNC. He was put on decongestants and carvedilol. Counseled again and advised to register in a cardiac transplant centre Left ventricular non-compaction (LVNC) is rare congenital cardiomyopathy due to an arrest during fetal development of the myocardium LVNC can be diagnosed at any age and the exact etiology is stil unknown [1-2]. LVNC is being detected & described in fetal life in very few case reports.