Left Ventricular Non-Compaction Syndrome Misdiagnosed as Dilated Cardiomyopathy on Several Occasions, Presenting With Recurrent Stroke

Left Ventricular Noncompaction Cardiomyopathy as a Potential Cause of Bilateral Posterior Cerebral Artery Stroke - a Rare and Unique Clinical Occurrence

Patient: Male, 63-year-old

Final Diagnosis: Occurrence of bilateral PCA infarcts with LVNC cardiomyopathy

Symptoms: Acute vision loss in both eyes • dysarthria

Medication: —

Clinical Procedure: Emergency endovascular thrombectomy

Specialty: Neurology

Daily 10 mg rivaroxaban as a therapy for ventricular thrombus related to left ventricular non-compaction cardiomyopathy: A case report

RATIONALE

Left ventricular non-compaction cardiomyopathy (LVNC) is a rare heart disorder related to thrombosis. Anticoagulant therapy is suggested for the treatment of this disease. The success of the novel oral anticoagulant rivaroxaban as a treatment option for this disorder is unclear.

PATIENT CONCERNS

A 43-year-old man who felt dizzy at rest was found to have an intraventricular thrombus.

DIAGNOSES

The thrombus was confirmed by echocardiography. And LVNC was diagnosed by cardiac magnetic resonance (CMR) and echocardiography.

INTERVENTIONS

He was prescribed a low dose (10 mg daily) of rivaroxaban as treatment.

OUTCOMES

After 3 months, the thrombus diminished, and the manifestation disappeared.

LESSONS

Low dose of rivaroxaban may serve as a viable option for anticoagulation therapy in LVNC patients, with large clinical trials needed to determine the best course of treatment.