Key result
Adult case of isolated LV apical hypoplasia presents with mild dyspnea lacking typical echocardiographic features.
Case Report (n=1)
No
Isolated left ventricular apical hypoplasia can present with mild manifestations and atypical echocardiographic features, highlighting the need for careful echocardiographic monitoring.
Isolated LV apical hypoplasia may present mildly without classic echo features in adults; leaves open refined diagnostic criteria and monitoring needs.
INTRODUCTION: Isolated left ventricular apical hypoplasia is an unusual type of cardiomyopathy that presents with different clinical manifestations according to the age of the disease, ranging from no symptoms in children to congestive heart failure, pulmonary edema, or even malignant tachycardia in adults. To our knowledge, only a few cases of isolated left ventricular apical hypoplasia have been reported in Asian adults. CASE PRESENTATION: Herein, we described an adult case of isolated left ventricular apical hypoplasia referred to our heart center in Isfahan, Iran in 2015 with a complaint of mild dyspnea with the absence of obvious fatty tissue in the heart's apex and an absence of any shunt, which are common findings in patients with this phenomenon. CONCLUSIONS: Patients faced with isolated left ventricular apical hypoplasia should be monitored by echocardiography because of this disease's possible progressive trend to life-threatening consequences.
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Mirdamadi et al. (2016) conducted a case report in Isolated left ventricular apical hypoplasia (n=1). An adult case of isolated left ventricular apical hypoplasia presented with mild dyspnea and lacked typical echocardiographic features such as apical fatty tissue or shunts.
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