RESUMEN
We report a patient with isolated left ventricular non-compaction diagnosed by echocardiography and cardiac magnetic resonance imaging. She developed refractory congestive heart failure and subsequently underwent successful heart transplantation. This type of cardiomyopathy is thought to be caused by the arrest of normal embryogenesis of the endocardium and myocardium. The spectrum of clinical, radiological, and pathological abnormalities is discussed.
Asunto(s)
Cardiomiopatía Hipertrófica/terapia , Trasplante de Corazón , Disfunción Ventricular Izquierda/terapia , Adulto , Cardiomiopatía Hipertrófica/complicaciones , Cardiomiopatía Hipertrófica/diagnóstico , Ecocardiografía/métodos , Femenino , Insuficiencia Cardíaca/etiología , Insuficiencia Cardíaca/terapia , Humanos , Imagen por Resonancia Magnética/métodos , Disfunción Ventricular Izquierda/complicaciones , Disfunción Ventricular Izquierda/diagnósticoRESUMEN
INTRODUCTION: The objective of this case report was to illustrate the diagnostic and intervention approach of anomalous right coronary artery (RCA). CLINICAL PICTURE: A 60-year-old man presented with acute inferior myocardial infarction. Cardiac catheterisation revealed an anomalous RCA arising from the posterior coronary sinus as the infarct-related artery. TREATMENT: Ad hoc percutaneous coronary intervention with stent implantation was performed using a few technical modifications. OUTCOME: Good angiographic result was achieved within 90 minutes, with 260 mL of contrast used. CONCLUSION: A high index of suspicion and logical diagnostic and intervention approach are required for the proper management of anomalous RCA.