Kochmareva Elena A, Kokorin Valentin A, Kondrashova Evgenia A, Khokhlova Nadejda V, Vardanyan Argishti G, Kokorin Ilya A, Doroshenko Dmitry A
Hospital Therapy No. 1 Department, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
City Clinical Hospital No. 15 named after O.M. Filatov, Moscow, Russian Federation.
Eur J Case Rep Intern Med. 2016 Jun 22;3(5):000432. doi: 10.12890/2016_000432. eCollection 2016.
Non-compaction of the ventricular myocardium (NCM) is a genetic cardiomyopathy usually due to mutationof the G4.5 gene located in the Xq28 chromosomal region. This congenital disorder is characterized by pronounced trabeculations and intertrabecular recesses resulting from abnormal embryogenesis between the fifth and eighth fetal weeks. The reported prevalence in the general population is between 0.014% and 1.3%. The classic triad of complications includes heart failure, ventricular arrhythmias and systemic embolic events, although some patients have an asymptomatic form. NCM is commonly diagnosed by echocardiography, but contrast ventriculography, CT and MRI can also be used. Here we present a case of left ventricle NCM, manifested after respiratory infection, in a pregnant patient with congenital thrombophilia and a history of myocardial infarction.
Non-compaction myocardium (NCM) in pregnant women has been associated with a poor prognosis.We should avoid routinely recommending young women with NCM to refuse pregnancy.A decision to continue pregnancy should be made by the patient in discussion with specialists.
