Isolated Left Ventricular Apical Hypoplasia Presenting as Vasovagal Syncope in a Middle-Aged Male Patient.

ABSTRACT:

Background

Isolated left ventricular apical hypoplasia (ILVAH) is a rare congenital cardiomyopathy characterized by a truncated and spherical left ventricle with compensatory right ventricle elongation. Clinical presentation is variable and often delayed.

Case summary

We report a 40-year-old man with no comorbidities who presented with a vasovagal episode. Electrocardiogram showed sinus rhythm with incomplete left bundle branch block. Echocardiography suggested dilated cardiomyopathy; however, cardiac magnetic resonance imaging (CMR) revealed the classic features of isolated left ventricular apical hypoplasia, including a truncated, spherical left ventricle with fatty apical infiltration, elongated right ventricle encasing the apex, and papillary muscle abnormalities. Despit

SUBMITTER: Kolaparthi LS 

PROVIDER: S-EPMC12790186 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature