Case Report
 
Unconventional etiology for heart failure and stroke: Non-compaction cardiomyopathy
Srikanth Seethala1, Srinivasa V Jampana2, Gur C Adhar3
1Assistant Professor, Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.
2Resident, Department of Internal Medicine, UPMC-Mercy hospital, Pittsburgh, PA.
3Assistant Professor, Department of Internal Medicine, UPMC-Mercy hospital, Pittsburgh, PA.

doi:10.5348/ijcri-2013-02-278-CR-12

Address correspondence to:
Srikanth Seethala
MSC10-555; 1 University of New Mexico
Albuquerque, New Mexico, 87131-0001
USA
Phone: 001-972-835-2873
Fax: 001-505-277-9437
Email: srikanth.seethala@yahoo.com, sseethala@salud.unm.edu

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How to cite this article:
Seethala S, Jampana SV, Adhar GC, Krishnaswami V, Generalovich T. Unconventional etiology for heart failure and stroke: Non-compaction cardiomyopathy. International Journal of Case Reports and Images 2013;4(2):131–134.


Abstract
Introduction: Non-compaction cardiomyopathy is a rare, primary, genetic cardiomyopathy that results from intra-uterine arrest of the compaction process. It commonly involves the apical area of the left ventricle, and uncommonly involves the right ventricle.
Case Report: A 45-year-old male presented to the hospital for heart failure. He was started on anticoagulation for the apical thrombus and later he suffered cerebrovascular accident. On careful evaluation he was found to have ventricular non-compaction both in right and left ventricles.
Conclusion: Non-compaction cardiomyopathy should be considered in all refractory cases of heart failure. Anticoagulation is crucial in patients with decreased systolic function and atrial fibrillation.

Keywords: Biventricular non compaction, Ventricular non compaction, LVNC


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Author Contributions
Srikanth Seethala – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Srinivasa V Jampana – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gur C Adhar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Venkataraman Krishnaswami – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Thomas Generalovich – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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Authors declare no conflict of interest.
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© Srikanth Seethala et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)