A Case Report of Isolated Left Ventricular Non-Compaction Presenting with Congestive Heart Failure and Intramural Thrombus

Laxmi Narayan Goit, Shaning Yang
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Abstract

Isolated left ventricular non-compaction is recently described as a rare form of cardiomyopathy that is associated with a heart failure, life threatening cardiac arrhythmia and thromboembolic complications. The diagnosis is based on echocardiography demonstration of spongy myocardium. Here we report a case of 74 years old female patient diagnosed as an isolated left ventricular non-compaction with congestive heart failure, intramural thrombus and hypertension. There is no specific treatment for LVNC; therapeutic measures are directed towards the patient’s symptom (heart failure, arrhythmia and thrombotic events) and consideration of an implantable cardioverter defibrillator and cardiac transplantation.
孤立性左心室不压实表现为充血性心力衰竭和壁内血栓1例
孤立性左心室不压实最近被描述为一种罕见的心肌病,与心力衰竭、危及生命的心律失常和血栓栓塞并发症有关。超声心动图显示海绵状心肌为诊断依据。我们在此报告一位74岁女性病患,诊断为孤立性左心室不压实合并充血性心力衰竭、壁内血栓及高血压。LVNC没有特殊的治疗方法;治疗措施针对患者的症状(心力衰竭、心律失常和血栓事件),并考虑植入式心律转复除颤器和心脏移植。
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