Left ventricular noncompaction with multiple thrombi in apical aneurysm

Daisuke Yakabe; Shouji Matsushima; Saori Uchino; Kisho Ohtani; Tomomi Ide; Taiki Higo; Hiroyuki Tsutsui

doi:10.2169/internalmedicine.3489-19

Left ventricular noncompaction with multiple thrombi in apical aneurysm

Daisuke Yakabe, Shouji Matsushima, Saori Uchino, Kisho Ohtani, Tomomi Ide, Taiki Higo, Hiroyuki Tsutsui

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Abstract

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.

Original language	English
Pages (from-to)	377-381
Number of pages	5
Journal	Internal Medicine
Volume	59
Issue number	3
DOIs	https://doi.org/10.2169/internalmedicine.3489-19
Publication status	Published - Feb 1 2020

All Science Journal Classification (ASJC) codes

Internal Medicine

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10.2169/internalmedicine.3489-19

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title = "Left ventricular noncompaction with multiple thrombi in apical aneurysm",

abstract = "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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T1 - Left ventricular noncompaction with multiple thrombi in apical aneurysm

AU - Yakabe, Daisuke

AU - Matsushima, Shouji

AU - Uchino, Saori

AU - Ohtani, Kisho

AU - Ide, Tomomi

AU - Higo, Taiki

AU - Tsutsui, Hiroyuki

PY - 2020/2/1

Y1 - 2020/2/1

N2 - 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.

AB - 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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Left ventricular noncompaction with multiple thrombi in apical aneurysm

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