Fatal presentation of congenital isolated left ventricular apical hypoplasia

Irving, Claire A.; Chaudhari, Milind P.
February 2009
European Journal of Cardio-Thoracic Surgery;Feb2009, Vol. 35 Issue 2, p368
Academic Journal
Abstract: Congenital isolated left ventricular apical hypoplasia has recently been recognised as a discrete clinical entity with well-defined diagnostic criteria on cardiac magnetic resonance imaging. This spectrum has been described in four previous cases, three of which presented with relatively mild symptoms and one with pulmonary oedema. All of these patients responded to standard medical management. We describe a sudden and fatal presentation of this anomaly in a previously well 19-year-old male, confirming the fact that this is not a benign condition but a spectrum with the potential for significant complications.


Related Articles

  • Pressure overloaded right ventricles: a multicenter study on the importance of trabeculae in RV function measured by CMR. Driessen, Mieke; Baggen, Vivan; Freling, Hendrik; Pieper, Petronella; Dijk, Arie; Doevendans, Pieter; Snijder, Repke; Post, Marco; Meijboom, Folkert; Sieswerda, Gertjan; Leiner, Tim; Willems, Tineke // International Journal of Cardiovascular Imaging;Mar2014, Vol. 30 Issue 3, p599 

    Cardiac magnetic resonance (CMR) imaging is the preferred method to measure right ventricular (RV) volumes and ejection fraction (RVEF). This study aimed to determine the impact of excluding trabeculae and papillary muscles on RV volumes and function in patients with RV pressure and/or volume...

  • Rapid and accurate measurement of LV mass by biplane real-time 3D echocardiography in patients with concentric LV hypertrophy: comparison to CMR. Sing-Chien Yap; Robert-Jan M. van Geuns; Attila Nemes; Folkert J. Meijboom; Jackie S. McGhie; Marcel L. Geleijnse; Maarten L. Simoons; Jolien W. Roos-Hesselink // European Journal of Echocardiography;Mar2008, Vol. 9 Issue 2, p255 

    Aims To evaluate the accuracy of real-time three-dimensional echocardiography (RT3DE) using a biplane and multiplane method in determining left ventricular (LV) mass compared to cardiac magnetic resonance imaging (CMR). Methods and results LV mass was measured in 18 adult patients with...

  • Clinical practice. Healy, Fiona; Hanna, Brian D.; Zinman, Raezelle // European Journal of Pediatrics;Jan2010, Vol. 169 Issue 1, p1 

    Pathologies in both the respiratory and cardiovascular systems frequently coexist and impact on each other. This manuscript introduces an approach to the interpretation of this complex relationship. Pulmonary hypertension can be a significant consequence of many respiratory diseases. This in...

  • Left ventricular hypertrophy: reduction of blood pressure already in the normal range further regresses left ventricular mass. Simpson, H. J.; Gandy, S. J.; Houston, J. G.; Rajendra, N. S.; Davies, J. I.; Struthers, A. D. // Heart;Jan2010, Vol. 96 Issue 2, p148 

    Objective: Left ventricular hypertrophy (LVH) confers high cardiovascular risk. Regression of LVH reduces risk. Patients with blood pressure in the normal range and LVH are common. We investigated whether further reduction in blood pressure would further regress LVH. Methods: 51 subjects with...

  • The art of assessing aortic stenosis. Rajani, Ronak; Hancock, Jane; Chambers, John B. // Heart;Nov 2012 Supplement, Vol. 98, piv14 

    This review describes the assessment of the aortic valve by echocardiography and also the roles that multidetector CT (MDCT) and cardiac magnetic resonance have to play as complimentary imaging modalities. It describes how to resolve apparent discrepancies in grading aortic stenosis and...

  • Use of an Amplatzer Duct Occluder for Closing an Aortico-Left Ventricular Tunnel in a Case of Noncompaction of the Left Ventricle. Vijayalakshmi, I. B.; Chitra, N.; Deva, A. N. Prabhu // Pediatric Cardiology;Jan/Feb2004, Vol. 25 Issue 1, p77 

    Aortico-left ventricular tunnel (ALVT) is a very rare congenital anomaly. Noncompaction of the left ventricle or “spongy myocardium” is another rare congenital cardiomyopathy. We report probably the first case in which these two rare anomalies causing pump failure coexisted in a...

  • Double outlet right atrium with coexisting double inlet left ventricle and concordant ventriculoarterial connections: a fascinating variant of the Holmes heart. Coats, Louise; Runnett, Craig; Satchithananda, Duwarakan K. // Cardiology in the Young;Jul2010, Vol. 20 Issue 5, p587 

    Occasionally complex congenital cardiac disease presents for the first time in adulthood, encouraging us to reflect anew on our understanding of familiar conditions. A 59-year-old woman, who had had two normal pregnancies, attended with breathlessness and was found to have a double inlet left...

  • Surgically induced unilateral pulmonary hypertension: time-related analysis of a new experimental model. Corno, Antonio F.; Tozzi, Piergiorgio; Genton, Claude Y.; von Segesser, Ludwig K. // European Journal of Cardio-Thoracic Surgery;Apr2003, Vol. 23 Issue 4, p513 

    Objective: Patients with irreversible pulmonary vascular obstructive disease caused by pulmonary hypertension due to congenital heart defects are considered either inoperable or only candidates to lung transplantation. This study evaluated an experimental model of surgically induced unilateral...

  • Cardiac magnetic resonance determinants of functional mitral regurgitation in ischemic and non ischemic left ventricular dysfunction. Fernández-Golfín, Covadonga; De Agustin, Alberto; Manzano, M.; Bustos, Ana; Sánchez, Tibisay; Pérez de Isla, Leopoldo; Fuentes, Manuel; Macaya, Carlos; Zamorano, José // International Journal of Cardiovascular Imaging;Apr2011, Vol. 27 Issue 4, p539 

    Functional mitral regurgitation (FMR) is frequent in left ventricular (LV) dilatation/dysfunction. Echocardiographic predictors of FMR are known. However, cardiac magnetic resonance (CMR) predictors of FMR have not been fully addressed. The aim of the study was to evaluate CMR mitral valve (MV)...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics