A Plump and Fatty Heart: Isolated Left Ventricular Apical Hypoplasia

Isolated left ventricular apical hypoplasia is a newly recognized type of cardiomyopathy, with only a few cases reported since it was first described in 2004. We report this case of a 21‐year‐old Filipino female presenting with unstable supraventricular arrhythmia and heart failure, with characteristic features of isolated left ventricular apical hypoplasia on echocardiography and cardiac magnetic resonance imaging. To our knowledge, this is the first reported adult case in Asia. Isolated left ventricular apical hypoplasia was fi rst recognized in 2004, and since then, only a few cases have been identifi ed. We report this case of a 21‐year‐old Filipino female presenting with unstable tachyarrhythmia and heart failure, with characteristic features of isolated left ventricular apical hypoplasia on echocardiography and cardiac magnetic resonance imaging. To our knowledge, this is the fi rst reported adult case in Asia.