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Case report
Non-compaction of ventricular myocardium with polycystic kidney disease with cardiogenic cerebral embolism
  1. Monu Rani1,
  2. Rajesh Rajput1,
  3. Sanat Mishra1 and
  4. Rakesh Garg2
  1. 1Department of Endocrinology and Medicine Unit, Pt. B D Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India, Rohtak, India
  2. 2Internal Medicine, Pt. B D Sharma Postgraduate Institute of Medical Sciences Rohtak, Rohtak, Haryana, India
  1. Correspondence to Dr Rajesh Rajput; drrajeshrajput{at}outlook.com

Abstract

Non-compaction of ventricular myocardium is a rare cardiomyopathy involving an early arrest of normal compaction of myocardium during fetal ontogenesis. Autosomal dominant polycystic kidney disease (ADPKD) is a hereditary nephropathy characterised by multiple renal cysts replacing the renal parenchyma and extrarenal manifestations. Here, we report a case of 65-year-old man, chronic smoker, presented with sudden onset right brachial monoparesis, exertional dyspnoea, orthopnoea, bipedal swelling and diagnosed as a case of ADPKD with left ventricular non-compaction cardiomyopathy with acute left ventricular failure and cardiogenic cerebral embolism (no evidence of atrial fibrillation); based on characteristic appearance on two-dimensional echocardiography and cardiac magnetic resonance. The patient was managed with guideline-directed pharmacotherapy for heart failure and anticoagulation as a secondary stroke prevention measure. Through this case report, we try to discuss the association between two rare entities and individualisation of treatment options available as a case-based approach, as no standard treatment guidelines are available.

  • cardiovascular medicine
  • cardiovascular system
  • renal system
  • stroke
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Footnotes

  • Contributors RR conceived the idea of the case report and provided the scientific guidance for the workup of the case. MR has worked with the case investigations, collection and interpretation of the data. MR, SM and RG have worked for drafting and reporting the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Next of kin consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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