Biventricular isolated apical hypoplasia: First-time description of a new cardiac abnormality by multimodality imaging

Left ventricular isolated hypoplasia is a seldom-described cardiac abnormality. Right usually associated with congenital anomalies of the pulmonary or tricuspid valve, whereas biventricular apical has never been described. We report case 48-year-old man no history known disease who was found to have complex abnormality characterized by: 1) Deficiency myocardium within apex adipose tissue infiltration; 2) Truncated right ventricle because an absent trabecular portion inflow tract; 3) and spherical left apex; 4) Origin mitral papillary muscle in flattened anterior apex. Multimodality imaging performed delineate morphological functional characteristics this cardiomyopathy fully. To best our knowledge, first description new by region both ventricles absence valvular coronary artery disease.