Left ventricular non-compaction in pregnancy : case report - online article

Abstract

Left-ventricular non-compaction (LVNC) represents an arrest in the normal process of myocardial compaction, resulting in multiple, prominent, persistant trabeculations and deep inter-trabecular recesses communicating with the ventricular cavity. LVNC is a rarely encountered cardiomyopathy and few cases have been reported in pregnancy. In this case report we present a patient who referred to our clinic with symptoms of heart failure during pregnancy and whose echocardiographic examination revealed prominent trabeculations in the left ventricle.

Peripartum noncompaction cardiomyopaty:new diagnosed after pregnancy

“…Increased blood volume and cardiac output may precipitate heart failure symptoms such as dyspnea, dizziness, pedal edema, and orthopnea during pregnancy [12]. Kilic and colleges suggested if the symptoms develop suddenly or become serious further evaluation is needed [5]. In our case, it was not possible to determine this clinical presentation associated with LVNC or peripartum cardiomyopathy.…”

“…The patient had attributed her symptoms only mild during pregnancy and increased gradually until first month after delivery. LVNC is diagnosed by two-dimensional and color Doppler echocardiography [5]. Echocardiographic features described include multiple predominant ventricular trabeculations, multiple deep intratrabecular recesses communicating with the ventricular cavity visualized with color Doppler, ventricular dilatation, and reduced systolic and diastolic ventricular function [6].…”

“…Echocardiography and Magnetic resonance imaging (MRI) usually use for diagnosis [3]. The presentation may follow heart failure, thrombus embolism, and ventricular arrhythmias [4] and is associated with poor prognosis [5]. LVNC with pregnancy is rare to observe [6].…”

Posicionamento da Sociedade Brasileira de Cardiologia para Gravidez e Planejamento Familiar na Mulher Portadora de Cardiopatia – 2020

“…Its prevalence is unknown, and evidence regarding practice during pregnancy is limited. 200 The clinical picture is highly variable, ranging from asymptomatic patients to patients with refractory HF and severe arrhythmias. There is no specific treatment for non-compaction cardiomyopathy, and therapeutic conduct should be supported by experience with other cardiomyopathies.…”

Síndrome en espejo con miocardiopatía no compactada en la madre y el feto. Reporte de caso

“…Cuatro madres tenían ventrículo no compacto, pero en ninguna se describió síndrome en espejo (32). Posterior a esta publicación se identificaron otros 3 reportes de VNC en gestantes (33)(34)(35), sin compromiso fetal por esta condición.…”