Key result
A rare association of left ventricular non compaction, bicuspid aortic valve, and coarctation of the aorta was identified in an asymptomatic 29-year-old male.
Why the study?
Left ventricular non compaction is rarely diagnosed and its causes are not well understood, prompting this report of an asymptomatic patient with an overlooked murmur.
Case Report (n=1)
No
This case report highlights a rare association of left ventricular non-compaction, bicuspid aortic valve, and coarctation of the aorta, emphasizing the importance of thorough physical examination and multimodality imaging.
May prompt screening for coarctation in LVNC with bicuspid valve; extends reported associations but remains hypothesis-generating.
Left ventricular non compaction (LVNC) is a condition rarely diagnosed and reported in current literature. It affects approximately 8 to 12 per 1 million of individuals and its causes are not well understood, but they are linked to gene mutations. The authors present a 29-year-old male who came to medical consult for a pre surgical evaluation. He was completely asymptomatic. Due to an aortic diastolic murmur we performed a transthoracic echocardiogram which revealed severe aortic regurgitation, signs of left ventricular non compaction and coarctation of the aorta. Subsequently, we decided to send him for a CT scan and CMR that allowed to confirm our diagnosis and gave more support to our findings. Were aimed to report this case because LVNC was found in a patient without symptoms but with a murmur missed in previous medical evaluations. Then, we encourage to be very accurate in patient' s examination and use non-invasive methods properly in order to identify such important cases.
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Campos-Tello et al. (2020) conducted a case report in Left ventricular non compaction, bicuspid aortic valve, and coarctation of the aorta (n=1). Left ventricular non compaction, bicuspid aortic valve, and coarctation of the aorta was evaluated. A rare association of left ventricular non compaction, bicuspid aortic valve, and coarctation of the aorta was identified in an asymptomatic 29-year-old male.
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