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Case Reports in Cardiology
Volume 2019, Article ID 5637638, 3 pages
https://doi.org/10.1155/2019/5637638
Case Report

Left Ventricular Noncompaction: A Rare Case of Nonischemic Cardiomyopathy

1Department of Medicine, Northwell Health at Staten Island University Hospital, Staten Island, NY 10305, USA
2Department of Electrophysiology, Northwell Health at Staten Island University Hospital, Staten Island, NY 10305, USA

Correspondence should be addressed to Asif Uddin; moc.liamg@niddu1fisa

Received 6 March 2019; Accepted 4 July 2019; Published 8 August 2019

Academic Editor: Magnus Baumhäkel

Copyright © 2019 Julia Tian et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated left ventricular noncompaction (LVNC) is a rare form of cardiomyopathy that is characterized by deep intertrabecular recesses and abnormal trabeculations that can be observed on transthoracic echocardiogram (TTE) or cardiac MRI (CMR) studies. Our case describes a 41-year-old male who presented with exertional chest pain and was discovered to have significantly reduced left ventricular ejection fraction (LVEF) which was nonischemic in etiology as confirmed by cardiac catheterization. Subsequent evaluation with CMR imaging revealed noncompaction of the left ventricle. The patient received defibrillation and lifelong anticoagulation given his elevated risk of sudden cardiac death (SCD). This case highlights the importance of considering unconventional etiologies of cardiomyopathy when investigating new-onset heart failure as well as the necessity of life-saving measures such as anticoagulation and defibrillator implantation in view of arrhythmogenic structural heart diseases.