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  • Title: Isolated left ventricular apical hypoplasia: a new congenital anomaly described with cardiac tomography.
    Author: Fernandez-Valls M, Srichai MB, Stillman AE, White RD.
    Journal: Heart; 2004 May; 90(5):552-5. PubMed ID: 15084556.
    Abstract:
    OBJECTIVE: To describe cardiac tomography findings of an apparently new, presumably congenital, left ventricular (LV) abnormality noted consistently in three patients. PATIENTS: Three patients presenting with non-specific symptoms including fatigue, shortness of breath, or chest discomfort were evaluated with cardiac tomography for cardiac structure and function. RESULTS: Findings from the three patients were very similar: a truncated and spherical LV with abnormal diastolic and systolic function, invagination of fatty material into the myocardium of the defective LV apex, origin of a complex papillary network in the anteroapical LV, and an elongated right ventricle wrapping around the deficient apex. CONCLUSIONS: Isolated LV apical hypoplasia is a unique, presumably congenital, cardiac anomaly that is an important condition to recognise.
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