A rare cause of Transient ischemic attack in a young patient: left ventricular non-compaction with a voluminous thrombus
H Foudad*; I Bouaguel; A Trichine
Military hospital of Constantine (Algeria), Department of cardiology.
Received Date: 23/11/2021; Published Date: 27/12/2021
*Corresponding author: H Foudad, Military hospital of Constantine (Algeria), Department of cardiology.
Email address: hfoudad@yahoo.com
A 25-year-old man was admitted in our department for management of a transient ischemic attack. It’s a patient without prior medical history.
He underwent echocardiography, which demonstrating in parasternal long axis view an important dilatation of left ventricle with reduced ejection fraction and severe hypokinesis (figure A).2-dimensional parasternal short axis show multiple prominent ventricular trabeculation with deep intertrabecular recesses particularly in the anterior lateral wall (figure B and C) associated with a voluminous thrombus of 21x11mm (figure D and E).
The patient also underwent cardiac magnetic resonance imaging (MRI).
The final diagnosis was left ventricular non-compaction with a voluminous thrombus complicated with a transient ischemic attack. The patient is put under classic treatment of heart failure associated with an anticoagulant treatment.
Disclosures
None.
Reference
- Klenda J, Boppana LKT, Vindhyal MR. Heart Failure Secondary to Left Ventricular Non-compaction Cardiomyopathy in a 26-Year-Old Male. Cureus. 2018 Jul 20;10(7):e3011.
- Parekh JD, Iguidbashian J, Kukrety S, Guerins K, Millner PG, Andukuri V. A Rare Case of Isolated Left Ventricular Non-compaction in an Elderly Patient. Cureus. 2018 Jun 26;10(6):e2886.