Two potentially fatal surprises in the preoperative assessment of an asymptomatic young adult

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• 作者：Antonio José ; Lagoeiro Jorge ; ^{lagoeiro@globo.com" class="auth_mail" title="E-mail the corresponding author} ; Antonio Alves do Couto ; Evandro Tinoco Mesquita ; Mario Luiz Ribeiro ; Celso Vale de Souza Junior ; Wolney de Andrade Martins
• 关键词：Isolated left ventricular non-compaction ; Preoperative care ; Pulmonary embolism
• 刊名：Revista Portuguesa de Cardiologia (English Edition)
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：35
• 期：5
• 页码：309.e1-309.e6
• 全文大小：2395 K

文摘

Isolated left ventricular non-compaction is a rare disease classified as a primary genetic cardiomyopathy and is characterized by heart failure, systemic embolism and ventricular arrhythmias. The diagnosis is established by Doppler echocardiography. We report the case of an asymptomatic young adult, with no history of heart disease, who underwent preoperative assessment for low-risk orthopedic surgery. The electrocardiogram showed left bundle branch block, which prompted further investigation with Doppler echocardiography, cardiac computed tomography angiography and cardiac magnetic resonance imaging. A diagnosis of isolated left ventricular non-compaction and pulmonary embolism was made. Some aspects of preoperative assessment in low-risk surgical patients are discussed.