Nakamura Bun, Tokui Toshiya, Maze Yasumi, Hirano Koji, Fujii Taro, Inagaki Masahiro, Inoue Ryosai
Department of Cardiovascular Surgery, Ise Red Cross Hospital, Ise, Japan.
Kyobu Geka. 2017 Jun;70(6):453-455.
Left ventricular noncompaction (LVNC) is believed to represent an arrest in the normal process of myocardial compaction, resulting in persistence of both hyper-trabeculation and intra-trabecular recess within the left ventricle. The clinical features of this disease are left ventricular dilatation and systolic dysfunction, which carry a high mortality. Most patients die in infancy, but some cases of LVNC in adults have been reported. To the best of our knowledge, only 4 cases of LVNC with valvular heart disease in adults have recently been operated. We describe a 51-year-old man with LVNC and severe aortic regurgitation and mild mitral regurgitation, who was successfully operated upon with aortic valve replacement using a tissue valve, and mitral valve plasty with bilateral papillary muscle relocation.