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http://dx.doi.org/10.4070/kcj.2012.42.10.705

A Case of Left Ventricular Noncompaction Accompanying Fasciculo-Ventricular Accessory Pathway and Atrial Flutter  

Yim, Sun Mie (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Jang, Sung-Won (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Chun, Hyun Ji (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kim, Su Jung (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Choi, Kyu Young (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kwon, Beom-June (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kim, Dong-Bin (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Cho, Eun Joo (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Lee, Man-Young (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Rho, Tai-Ho (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Kim, Jae-Hyung (Division of Cardiology, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
Publication Information
Korean Circulation Journal / v.42, no.10, 2012 , pp. 705-708 More about this Journal
Abstract
Left ventricular hypertrabeculation/noncompaction (LVHT) is an uncommon type of genetic cardiomyopathy characterized by trabeculations and recesses within the ventricular myocardium. LVHT is associated with diastolic or systolic dysfunction, thromboembolic complications, and arrhythmias, including atrial fibrillation, ventricular arrhythmias, atrioventricular block and Wolff-Parkinson-White syndrome. Herein, we describe a patient who presented with heart failure and widecomplex tachycardia. Echocardiography showed LVHT accompanied with severe mitral regurgitation. The electrophysiologic study revealed a fasciculo-ventricular accessory pathway and atrial flutter (AFL). The AFL was successfully treated with catheter ablation.
Keywords
Isolated noncompaction of the ventricular myocardium; Mitral valve insufficiency; Pre-excitation, Mahaim-type; Atrial flutter;
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