Biventricular Non-Compaction with Right Ventricular Thrombus in an Infant

Document Type : Case reports.

Authors

1 Department of Cardiology, LTMMC and LTMGH, Sion, Mumbai, India

2 Department of Neurology, LTMMC and LTMGH, Sion, Mumbai, India

Abstract

Background: Left ventricular non-compaction (LVNC) is a rare cardiomyopathy characterized by a spongy left ventricle with trabeculations and deep recesses. This cardiomyopathy carries a high risk of left ventricular dysfunction, thromboembolic phenomena, and malignant arrhythmias. The standard diagnostic method is echocardiography, and cardiomagnetic resonance can confirm or rule out this illness when the apex is difficult to see.
Case report: This case report presents the clinical findings and management of a 3-month-old infant with LVNC and a right ventricular thrombus. The patient in our case presented with increased precordial movements, chest indrawing, and failure to thrive. His echocardiography revealed segmental thickening of the left ventricular myocardial wall and diagnostic indices confirming LVNC. Additionally, there was a thrombus in the right ventricular outflow tract and a layered thrombus in the left ventricle. Optimal strategies for right ventricular thrombus management are yet to be established.
Conclusion: Early detection and appropriate management are essential for improving outcomes in these cases

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SVU-International Journal of Medical Sciences
Volume 8, Issue 1
January -June
January 2025
Pages 960-964

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