Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report
Ventricular noncompaction (VNC) of the myocardium is a rare genetic cardiomyopathy caused by a disorder during endocardial morphogenesis and could be accompanied by life-threatening complications. The major clinical manifestations of VNC are heart failure, arrhythmias, and embolic events. The left v...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2012/924865 |
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| author | Oghenerukevwe Odiete Ramanna Nagendra Mark A. Lawson Henry Okafor |
| author_facet | Oghenerukevwe Odiete Ramanna Nagendra Mark A. Lawson Henry Okafor |
| author_sort | Oghenerukevwe Odiete |
| collection | DOAJ |
| description | Ventricular noncompaction (VNC) of the myocardium is a rare genetic cardiomyopathy caused by a disorder during endocardial morphogenesis and could be accompanied by life-threatening complications. The major clinical manifestations of VNC are heart failure, arrhythmias, and embolic events. The left ventricle is the most commonly reported affected site, but a few cases of right ventricular involvement have also been reported. We report a case of biventricular noncompaction cardiomyopathy in a 31-year-old woman presenting with a new onset seizure. On the second day of her telemetry-monitored hospitalization, she suffered a witnessed ventricular fibrillation arrest requiring emergency direct-current cardioversion and induced hypothermia. Transthoracic echocardiography (TTE) showed isolated left ventricular (LV) noncompaction and depressed LV systolic function. Subsequent cardiac magnetic resonance imaging (MRI) revealed both left and right ventricular noncompaction. This unusual presentation highlights the importance of a complete and thorough evaluation of patients even when presenting with apparently noncardiac symptom(s). |
| format | Article |
| id | doaj-art-f2f1c0ab37f345da8fd174052a0cb807 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-f2f1c0ab37f345da8fd174052a0cb8072025-02-03T06:01:23ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/924865924865Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case ReportOghenerukevwe Odiete0Ramanna Nagendra1Mark A. Lawson2Henry Okafor3Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, 2220 Pierce Avenue, Preston Research Building, Nashville, TN 37232, USADivision of Cardiovascular Medicine, Department of Medicine, Nashville General Hospital, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN 37208, USADivision of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, 2220 Pierce Avenue, Preston Research Building, Nashville, TN 37232, USADivision of Cardiovascular Medicine, Department of Medicine, Nashville General Hospital, Meharry Medical College, 1005 Dr. D. B. Todd Jr. Boulevard, Nashville, TN 37208, USAVentricular noncompaction (VNC) of the myocardium is a rare genetic cardiomyopathy caused by a disorder during endocardial morphogenesis and could be accompanied by life-threatening complications. The major clinical manifestations of VNC are heart failure, arrhythmias, and embolic events. The left ventricle is the most commonly reported affected site, but a few cases of right ventricular involvement have also been reported. We report a case of biventricular noncompaction cardiomyopathy in a 31-year-old woman presenting with a new onset seizure. On the second day of her telemetry-monitored hospitalization, she suffered a witnessed ventricular fibrillation arrest requiring emergency direct-current cardioversion and induced hypothermia. Transthoracic echocardiography (TTE) showed isolated left ventricular (LV) noncompaction and depressed LV systolic function. Subsequent cardiac magnetic resonance imaging (MRI) revealed both left and right ventricular noncompaction. This unusual presentation highlights the importance of a complete and thorough evaluation of patients even when presenting with apparently noncardiac symptom(s).http://dx.doi.org/10.1155/2012/924865 |
| spellingShingle | Oghenerukevwe Odiete Ramanna Nagendra Mark A. Lawson Henry Okafor Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report Case Reports in Cardiology |
| title | Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report |
| title_full | Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report |
| title_fullStr | Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report |
| title_full_unstemmed | Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report |
| title_short | Biventricular Noncompaction Cardiomyopathy in a Patient Presenting with New Onset Seizure: Case Report |
| title_sort | biventricular noncompaction cardiomyopathy in a patient presenting with new onset seizure case report |
| url | http://dx.doi.org/10.1155/2012/924865 |
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