Double Valve Replacement for Severe Insufficiency of the Aortic and Mitral Valves in an Adult with Left Ventricular Noncompaction

(Department of Cardiovascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Japan)

Hiromichi Sonoda Kunihiko Jouo Masayoshi Umesue
Koji Matsuzaki Kanzi Matsui
Left ventricular noncompaction (LVNC) is believed to represent an arrest in the normal process of myocardial compaction, resulting in persistence of both hyper-trabeculation and intra-trabecular recess within the left ventricle. High mortality is the important clinical feature of this disease. LVNC in adult cases has been rarely, but occasionally, reported, however, LVNC with insufficiency of both the aortic and mitral valves has not been reported to our knowledge. Herein, we describe a 62-year-old man with LVNC and the severe insufficiency of the aortic and mitral valves, who was successfully operated upon with aortic and mitral valve replacement using mechanical valves. Although the postoperative course was uneventful, careful attention is mandatory for the possible left ventricular dysfunction due to LVNC.
@Jpn. J. Cardiovasc. Surg. 35: 168-172 (2006)