Isolated left ventricular apical hypoplasia: A case report.

Abstract

Isolated left ventricular apical hypoplasia (ILVAH) is a rare, unclassified cardiomyopathy with typical imaging findings. Cardiac magnetic resonance (CMR) is valuable for identifying heart structural anomalies. This case report describes the detection of significant anatomical abnormalities in the left ventricle (LV) with CMR in a 32-year-old man who presented with sudden dyspnea at authors' institution. This case demonstrates the characteristics of ILVAH under multimodal imaging: A truncated spherical shape of the LV, encircling of the distal LV by the right ventricle, the presence of fat replacement at the apex, and without abnormality in the mitral valve or aorta.