Simultaneous acute cardio-cerebral infarction associated with isolated left ventricle non-compaction cardiomyopathy. (August 2022)

• Record Type: Journal Article
• Authors: Abdi, Ishak Ahmed; Karataş, Mesut; Abdi, Ahmed Elmi; Hassan, Mohamed Sheikh; Yusuf Mohamud, Mohamed Farah
• Is Part Of: Annals of medicine and surgery. Volume 80(2022)
• Publication Date: 2022-08
• Subjects: Acute ischemic stroke -- Acute myocardial infarction -- Simultaneous acute cardio-cerebral infraction -- Non-compaction cardiomyopathy; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104172
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction and importance: The co-occurrence of acute ischemic stroke and acute myocardial ischemia; cardio-cerebral infarction (CCI) has been linked to increased morbidity and mortality. The incidence of these conditions to occur simultaneously has been reported to be less than 1% according to the published data. Left Ventricular Non-Compaction (LVNC), on the other hand, is characterized by large left ventricular (LV) trabeculae, a thin compacted layer, and deep intertrabecular recesses. In the inter-trabecular recesses, where blood flow is slow, cardiac mural thrombi may form, which can lead to systemic embolization. Case presentation: In this report, we describe a 51-year-old male patient with a history of hypertension and diabetes who developed a non-ST segment elevated myocardial infraction and an acute ischemic stroke that were thought to be related to left ventricular hypertrabeculation. Clinical discussion: Although it is rare, the simultaneous occurrence of myocardial infarction and an acute ischemic stroke can be fatal. There are numerous potential mechanisms for CCI, including cardiac thrombi-embolism, hypoperfusion during AMI. Both conditions have a narrow therapeutic window and management is very crucial. Conclusion: To the best of the author's knowledge, this is the first reported case of cardiocerebral infraction (CCI) in the setting of non-compaction left ventricle. Early and precise diagnosis is critical to the successful management of these conditions. Highlights: Because the simultaneous occurrence of these two ailments (myocardial infraction and ischemic stroke) in the setting of non-compaction cardiomyopathy is extremely unusual, and this is one of the few cases documented, this study will play vital roles in management and future researches. Early and precise diagnosis is critical to the successful management of both disorders, sonographers and clinicians generate suspicion non-compaction cardiomyopathy in the event of a single or concordance of these disease. Due to the rarity of the simultaneous occurrence of both ischemic stroke and myocardial infraction in association of left ventricular non-compaction, no clinical trials have been conducted, and there are no evidence-based guidelines on how to approach with treatment, the approach to management should be customized per se.