A Case of Noncompaction at All Segments of Both Right and Le
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Case Presentation
A 19-year-old male was referred to ED of Chamran Hospital, Isfahan University of Medical Sciences, Isfahan, Iran, due to sudden dyspnea at rest and chest discomfort. He was a known case of mental retardation. He was born full term with birth weight = 1250 grams. On physical examination, silent pericardium and percussion dullness from second to fifth left intercostal space were detected. A systolic murmur (II/VI) at left sternal border was heard. ECG showed giant voltages in precordial lead and deep ST segment depression. Chest X-ray (CXR) was within normal limits . Transthoracic echocardiography showed situs solitus, D loop, normal connection of great vessels, noncompaction LV at all segments (noncompaction/compacti with moderate systolic dysfunction (LVEF = 40%), diastolic dysfunction grade II, normal RV size with mild systolic dysfunction and hypertrabeculation, mild tricuspid regurgitation (TR), and normal pulmonary artery systolic pressure. After injection of agitated saline some bubbles were passed from right to left through patent foramen ovale (PFO). He was scheduled for close observation....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265543/
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