An unusual case of non-compaction cardiomyopathy associated with coronary artery disease.

Citation data:

Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese, ISSN: 2241-5955, Vol: 58, Issue: 1, Page: 72-76

Publication Year:
2017
Captures 2
Readers 2
Social Media 137
Shares, Likes & Comments 137
PMID:
28163145
DOI:
10.1016/j.hjc.2017.01.005
Author(s):
Karvounaris, Stylianos, Michas, George, Karampetsos, Vasilis, Fousas, Stefanos, Mavrommatis, Petros
Publisher(s):
Elsevier BV
Tags:
Medicine
article description
Non-compaction cardiomyopathy (NCC) is a rare cause of heart failure, characterized by the presence of extensive myocardial trabeculation and deep intertrabecular recesses. Herein, we report a 71-year-old man, who travelled a week earlier by plane, and was hospitalised due to pneumonia. Ten days later, while being in the hospital, he developed acute dyspnoea, tachypnea and hypotension. Electrocardiogram (ECG) showed sinus tachycardia and new right bundle brunch block suggesting severe pulmonary embolism. Initial ECG had QS in the precordial leads compatible with "old" myocardial infarction. Urgent chest CT-scan confirmed the clinical diagnosis of pulmonary embolism. In addition, a "deficit" in the left ventricular apex was noted. Echocardiography revealed dilated left ventricle, severely reduced ejection fraction, two large thrombi and near normal right cavities. Thrombolysis was not performed due to the risk of new thromboembolic event and the patient was treated with low-molecular weight heparin, oxygen and inotropes. After stabilization a more detailed echocardiogram (contrast, 3D) showed typical findings of NCC. Coronary angiogram showed extensive obstructions, despite the absence of risk factors, and he underwent urgent coronary artery bypass graft (CABG). The patient was discharged ten days after the CABG in good general condition. In conclusion, we report a case of NCC associated with complex three-vessel coronary artery disease. Furthermore, the combination of massive pulmonary embolism and clots in the left ventricle made his management even more challenging.

This article has 0 Wikipedia mention.