Erschienen in:
01.04.2015 | Case study
Left ventricular hypertrabeculation/noncompaction as a cause of juvenile embolic stroke
verfasst von:
J. Finsterer, MD, PhD, C. Stöllberger
Erschienen in:
Herz
|
Sonderheft 2/2015
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Excerpt
It is reported that 20–30% of ischemic strokes are cryptogenic [
1,
2]. Despite intensive diagnostic work-up, no plausible cause is found in these cases [
1]. However, new technologies and the consequent momentum are facilitating the detection of the underlying cause in some of these cases despite their apparent“cryptogenic” nature [
3]. One cause of an apparently cryptogenic stroke is left ventricular hypertrabeculation/noncompaction (LVHT), [
4] a morphological myocardial abnormality characterized by dichotomy of the left ventricular wall into a compacted outer (epicardial) layer and a noncompacted inner (endocardial) layer [
5]. Reclassification of an initially cryptogenic stroke as embolic owing to LVHT is rare [
6] and reported in the following case. …