Left ventricular non-compaction with associated anomalies: a rare congenital cardiomyopathy

A 22-year-old man was admitted with chief complaint of dyspnea on exertion. The patient had a history of operation 10 years ago for coarctation of the aorta. Transthoracic echocardiography showed bicuspid aortic valve, aortic regurgitation, left ventricular [LV] enlargement with ejection fraction of 45%, and a deeply trabeculated LV with deep intertrabecular recesses communicating with left ventricular cavity as demonstrated by color Doppler flow, the characteristic of the left ventricular noncompaction. Medical therapy and aortic valve replacement was performed. In the follow up, he was free of symptoms 12 months later

Tunnel type left ventricular outflow tract obstruction: an unusual complex congenital cardiac anomaly in adult

A 24-year-old man, referred to our center with generalized body edema and hypotension. He had a complex congenital heart disease that finally discharged after konno operation

Hydatid cyst presented as pulmonary stenosis

A 27-years-old woman, presented with progressive dyspnea on exertion and chest pain. Transthoracic echocardiography revealed severe pulmonary stenosis. Her transsophageal echocardiography [TEE] showed a single, large, well-defined thin wall cystic mass with pressure on the main pulmonary artery at the level of pulmonic valve that caused severe pulmonary stenosis. Computed tomography [CT] scan of chest and abdomen confirmed presence of hydatid cyst in mediastinum and liver. Serologic test using Eliza was positive for echinococcal infection. Albendazol was started for the patient and she was referred to surgeon for resection of cystic mass but the patient refused the operation

Syncope: as a rare presenting feature of atrial flutter

A 42-years-old woman presented with palpitation. Her symptoms aggravated since 2 years ago, and developed palpitation and syncope during its last six months. Her symptoms continued despite the medical therapy. During heart monitoring in CCU, she developed a narrow QRS complex tachycardia with rate of 150 beats/min. After injection of adenosine, ventricular rate slowed down and the flutter waves were appeared. In electrophysiology study [EPS], reverse atrial flutter was induced. Bidirectional cavotricuspid isthmus block by application of radiofrequency energy was done for her. No arrhythmia was induced after radiofrequency ablation. The patient was discharged and during follow up is free of symptoms

Boxer thrombus: a large highly mobile thrombus in a normal functioning left ventricle

A 45-year-old woman with complaint of left side weakness admitted to neurology ward. Trans-esophageal echocardiography showed a large, highly mobile mass in left ventricle with its tip looking like a fist, punching the aortic valve cusps. Emergency operation was done and the mass was confirmed to be a large thrombus and was removed completely. During the follow up, patient was free of symptoms

Mitral valve aneurysm: a rare complications of aortic valve endocarditis

A 20-year-old intravenous drug abuser man, refered to our hospital with dyspnea and orthopnea. Tranesophageal echocardiography revealed severe aortic regurgitation, healed vegetation of aortic valve and an aneurysm of the anterior leaflet of the mitral valve. The patient was discharged after aortic valve replacement and mitral valve repair

Myocardial hydatid cyst: an uncommon complication of echinococcal infection

A 27 years-old man presented with malaise, fatigue and atypical chest pain. Transthoracic echocardiography was performed and revealed a single large and well defined intra-myocardial cystic mass in the inter-ventricular septum. The cystic mass was thin-walled and contained some small daughter cyst. Although the echocardiographic diagnosis was straightforward, serologic test [Hydatid cyst antibody] with Eliza was performed which was positive for echinococcal infection. Other works up showed no involvement of other organ system. Albendazol was started for him and he referred to cardiac surgeon for resection of cystic mass but the patient refuse for operation