Left ventricular apical hypoplasia: Case report on cardiomyopathy and a history of sudden cardiac death.

BACKGROUND: Isolated left ventricular apical hypoplasia with several different unrecognized dimensions is a newly discovered congenital anomaly of the heart. CASE REPORT: In this report, we describe a case of cardiomyopathy of this type occurring in a 13-year-old male with a history of mental retardation and sudden cardiac death (SCD) of second-degree relatives. The patient was referred for an evaluation of cardiac status. An echocardiography analysis demonstrated a spherical left ventricle (LV) appearance with mild mitral regurgitation. Cardiac magnetic resonance imaging (MRI) confirmed a spherical and truncated LV appearance. The right ventricle was found to have elongated and wrapped around the LV, and diverticulum was also seen in the cardiac MRI. CONCLUSION: To the best of our knowledge, this is to present the first case of LV apical hypoplasia combined with LV diverticulum and a family history of SCD. As more cases featuring this cardiomyopathy type are recognized, it will be easier to elucidate the natural history and management of such cardiac anomalies.

Congenital partial absence of the pericardium presenting with a rare concurrent abnormality of vascular ring diagnosed by cardiac magnetic resonance imaging.

Congenital absence of the pericardium is a rare abnormality that can be diagnosed by cardiac imaging procedures. A 49-year-old male needed medical attention due to the appearance of palpitation with a systolic murmur, and a notable aortic arch deviation was seen in the chest X-ray. In the echocardiogram, a poor echo window was detected. A cardiac magnetic resonance imaging (MRI) showed a rare concomitant anomaly of partial absence of the pericardium including a rare defect of the right-sided aortic arch. Using cardiac MRI, the pericardium can be easily visualized, and thus, its absence more easily detected, aiding appropriate clinical decision-making.

Pseudo-Casimir interactions across nematic films with disordered anchoring axis.

We study the effective pseudo-Casimir interaction forces mediated by a nematic liquid-crystalline film bounded by two planar surfaces, one of which imposes a random (disordered) distribution of the preferred anchoring axis in the so-called easy direction. We consider both the case of a quenched as well as an annealed disorder for the easy direction on the disordered surface and analyze the resultant fluctuation-induced interaction between the surfaces. In the case of quenched disorder, we show that the disorder effects appear additively in the total interaction and are dominant at intermediate inter-surface separations. Disorder effects are shown to be unimportant at both very small and very large separations. In the case of annealed disorder its effects are non-additive in the total inter-surface interaction and can be rationalized in terms of a renormalized extrapolation length.