Case report: non compacted myocardium of the left ventricle in combination with multiple coronary artery aneurysms

Ignė Urbonavičiūtė1*, Laura Zajančkauskienė2, Antanas Jankauskas3

1Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania

2Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania

3Department of Radiology, Lithuanian University of Health Sciences, Kaunas, Lithuania

Abstract
We present a clinical case of coexisting left ventricle non compaction and multiple coronary artery aneurysms in 28 years old woman, complicated by myocardial infarction due to thrombosis of aneurysm.  A patient presented due to suspected unstable pectoral angina. Cardiac computed tomography study revealed stented right coronary artery, aneurysm of diagonal branch without detectable signs of atherosclerotic changes and a thick layer of trabeculations in inferolateral walls and apex of left ventricle. Magnetic resonance imaging confirmed evidence of non-compaction myocardium with ratio 2.6 with not impaired left ventricular systolic function. Positron emission tomography–computed tomography study rejected active inflammation in coronary arteries.

Keywords: left ventricle non compaction, coronary artery aneurysm, cardiomyopathy