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

  1. 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.
  2. 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.
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