Key result
Off-pump CABG improves LVEF to 30% in a case of LVNC and severe CAD.
Why the study?
Left ventricular non-compaction cardiomyopathy is a rare congenital cardiomyopathy with no specific therapy, and management depends on clinical presentation.
Case Report (n=1)
A successful surgical outcome with CABG can be achieved in patients with severe CAD despite severe LV dysfunction due to left ventricular non-compaction cardiomyopathy.
Supports feasibility of off-pump CABG in LV non-compaction with CAD; hypothesis-generating and requires prospective validation.
Left ventricular non-compaction cardiomyopathy, a rare congenital cardiomyopathy, is characterized by prominent trabeculations and deep intertrabecular recesses that communicate with the ventricular cavity. The typical presentation includes a triad of heart failure, ventricular arrhythmia, and systemic embolization. The disorder is often diagnosed by echocardiography and cardiac magnetic resonance imaging. In the absence of specific therapy, the management depends on the clinical presentation. Here, we describe a young man with left ventricular non-compaction cardiomyopathy and coronary artery disease who underwent coronary artery bypass graft surgery.
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Ajmer Singh (2025) conducted a case report in Left Ventricular Non-Compaction Cardiomyopathy with Coronary Artery Disease (n=1). Coronary artery bypass graft (CABG) surgery was evaluated on Clinical improvement and left ventricular ejection fraction. Off-pump coronary artery bypass graft surgery was successfully performed in a 38-year-old man with left ventricular non-compaction cardiomyopathy and severe coronary artery disease, improving LVEF to 30% at 3 months.
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