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Rovera C, Franco E, Moretti C. Left Ventricular Noncompaction and Coronary Artery Disease: An Unexpected Combination. Tex Heart Inst J 2023; 50:490388. [PMID: 36695736 PMCID: PMC9969782 DOI: 10.14503/thij-21-7595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- Chiara Rovera
- Division of Cardiology, Ospedale Civico di Chivasso, Chivasso, Italy
| | - Erica Franco
- Division of Cardiology, Ospedale Civico di Chivasso, Chivasso, Italy
| | - Claudio Moretti
- Division of Cardiology, Ospedale Civico di Chivasso, Chivasso, Italy
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Left Ventricular Non-Compaction Cardiomyopathy-Still More Questions than Answers. J Clin Med 2022; 11:jcm11144135. [PMID: 35887898 PMCID: PMC9315982 DOI: 10.3390/jcm11144135] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 07/12/2022] [Accepted: 07/13/2022] [Indexed: 12/24/2022] Open
Abstract
Left ventricular non-compaction (LVNC) describes the phenotypical phenomena characterized by the presence of excessive trabeculation of the left ventricle which forms a deep recess filled with blood. Considering the lack of a uniform definition of LVNC as well as the "golden standard" it is difficult to estimate the actual incidence of the disease, however, seems to be overdiagnosed, due to unspecific diagnostic criteria. The non-compacted myocardium may appear both as a disease representation or variant of the norm or as an adaptive phenomenon. This article covers different approaches to incidence, pathogenesis, diagnostics, and treatment of LVNC as well as recommendations for patients during follow-up.
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Prandi FR, Illuminato F, Galluccio C, Milite M, Macrini M, Di Landro A, Idone G, Chiocchi M, Sbordone FP, Sergi D, Romeo F, Barillà F. A Rare Case of Left Ventricular Non-Compaction with Coronary Artery Anomaly Complicated by ST-Elevation Myocardial Infarction and Subcutaneous Defibrillator Implantation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020791. [PMID: 35055613 PMCID: PMC8775424 DOI: 10.3390/ijerph19020791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 01/07/2022] [Accepted: 01/10/2022] [Indexed: 02/01/2023]
Abstract
Left ventricular non-compaction (LVNC) is a rare congenital cardiomyopathy caused by arrest of normal endomyocardial embryogenesis and characterized by the persistence of ventricular hypertrabeculation, isolated or associated to other congenital defects. A 33-year-old male, with family history of sudden cardiac death (SCD), presented to our ER with typical chest pain and was diagnosed with anterior STEMI. Coronary angiography showed an anomalous origin of the circumflex artery from the right coronary artery and a critical stenosis on the proximal left anterior descending artery, treated with primary percutaneous coronary intervention. The echocardiogram documented left ventricular severe dysfunction with lateral wall hypertrabeculation, strongly suggestive for non-compaction, confirmed by cardiac MRI. At 3 months follow up, for the persistence of the severely depressed EF (30%) and the family history for SCD, the patient underwent subcutaneous ICD (sICD) implantation for primary prevention. To the best of our knowledge, this is the first case of LVNC associated with anomalous coronary artery origin and STEMI reported in the literature. Arrhythmias are common in LVNC due to endocardial hypoperfusion and fibrosis. sICD overcomes the risks of transvenous ICD, and it is a valuable option when there is no need for pacing therapy for bradycardia, cardiac resynchronization therapy and anti-tachycardia pacing.
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Affiliation(s)
- Francesca Romana Prandi
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
- Correspondence: ; Tel.: +39-3396669709
| | - Federica Illuminato
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Chiara Galluccio
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Marialucia Milite
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Massimiliano Macrini
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Alessio Di Landro
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Gaetano Idone
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Marcello Chiocchi
- Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome Tor Vergata, 00133 Rome, Italy; (M.C.); (F.P.S.)
| | - Francesco Paolo Sbordone
- Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, University of Rome Tor Vergata, 00133 Rome, Italy; (M.C.); (F.P.S.)
| | - Domenico Sergi
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
| | - Francesco Romeo
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
- Department of Departmental Faculty of Medicine, Unicamillus International Medical University of Rome, 00131 Rome, Italy
| | - Francesco Barillà
- Unit of Cardiology, Department of Systems Medicine, University of Rome Tor Vergata, 00133 Rome, Italy; (F.I.); (C.G.); (M.M.); (M.M.); (A.D.L.); (G.I.); (D.S.); (F.R.); (F.B.)
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Zhu X, Ya Y, Hu G. Left ventricular noncompaction in patients with coronary artery disease: Preliminary analysis of echocardiographic findings. JOURNAL OF CLINICAL ULTRASOUND : JCU 2018; 46:475-479. [PMID: 30105764 DOI: 10.1002/jcu.22633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 07/13/2018] [Accepted: 07/18/2018] [Indexed: 06/08/2023]
Abstract
We retrospectively analyzed the echocardiographic findings of eight patients with left ventricular noncompaction (LVNC) and concurrent coronary artery disease. This study was conducted in Yijishan Hospital between January 2012 and May 2017. Of the eight patients, six were diagnosed with coronary arterial atherosclerosis, one patient with coronary pulmonary fistula, and one with coronary myocardial bridge. Regional wall motion abnormalities were detected in all patients. Echocardiography can provide significant information about LVNC in patients with coronary artery disease. However, whether regional wall motion abnormalities are caused by coronary artery disease or noncompaction of the myocardium remains unknown in most patients.
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Affiliation(s)
- Xiangming Zhu
- Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Yang Ya
- Department of Echocardiogrphy, Anzhen Hospital of Capital Medical University, Beijing, China
| | - Guobing Hu
- Department of Ultrasound, The First Affiliated Hospital of Wannan Medical College, Wuhu, China
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Toufan M, Shahvalizadeh R, Khalili M. Myocardial infarction in a patient with left ventricular noncompaction: a case report. Int J Gen Med 2012; 5:661-5. [PMID: 22924011 PMCID: PMC3422902 DOI: 10.2147/ijgm.s28902] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
We describe a 73-year-old male patient with left ventricular noncompaction (LVNC) who was diagnosed with acute myocardial infarction (MI), three-vessel coronary artery disease, a fresh intraventricular thrombus, and mitral regurgitation. He was treated with full anticoagulant therapy, coronary artery bypass grafting, and mitral valve repair. This case adds to a small but growing literature showing association between LVNC and MI and/or coronary artery disease. We suggest that patients with LVNC could be considered at heightened risk for MI, and the two conditions might have a common genetic underpinning in some cases.
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Affiliation(s)
- Mehrnoush Toufan
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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