Left Ventricular Noncompaction with Multiple Thrombi in Apical Aneurysm

Figures

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  Figure 1.. Chest radiography exhibited cardiac enlargement, pulmonary congestion, and mild pleural effusion (A), and an electrocardiogram showed sinus rhythm and complete left bundle branch block (B). Transthoracic echocardiography demonstrated LV dilatation in the parasternal long-axis view (C), prominent trabeculation, deep intertrabecular recesses, and an increased NC/C ratio (>2) in the parasternal short-axis view (D) along with apical aneurysm (white arrows) with 2 thrombi (10×13 mm in the inferior wall, 15×8 mm in the anterior wall: white arrowheads) in the apical long-axis view (E). RV: right ventricle, LV: left ventricle, LA: left atrium, NC: noncompacted endomyocardial layer, C: compacted epicardial layer

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  Figure 2.. Cardiac magnetic resonance imaging showed an increased NC/C ratio (>2.3) (A) and thrombus (white arrowhead) in the left ventricular apical aneurysm (white arrows) (B). Coronary angiography revealed no significant obstructive stenosis (C). A left ventriculogram in end-systole showed apical aneurysm in the left ventricular wall (white arrows) (D). RV: right ventricle, RA: right atrium, LV: left ventricle, LA: left atrium, NC: noncompacted endomyocardial layer, C: compacted epicardial layer, RCA: right coronary artery, LCA: left coronary artery

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  Figure 3.. Computed tomography imaging demonstrated right cerebellar infarction (white arrow).