Interdisciplinary management of left ventricular noncompaction in pregnancy using a wearable defibrillator

Introduction: Left ventricular hypertrabeculation/noncompaction (LVHT) is a cardiac abnormality of unknown etiology, characterized by extensive trabeculations of the left ventricular cavity and a two-layered structure of the left ventricular myocardium. LVHT is diagnosed in children and adults, mainly by echocardiography, and may be associated with heart failure, arrhythmias and embolic events. LVHT is no contraindication for pregnancy, however worsening of cardiac function and development of malignant arrhythmias has been described. Protection against malignant arrhythmias can be provided by implanted defibrill…