Abstract
We present a case of a 44 year old female who presented with a second episode of embolic stroke. She was noted to have extensive endomyocardial calcification on computed tomography. Cardiac MRI (CMR) showed myocardial thinning with hypertrabeculation of the left ventricular apex and extensive signal voids due to calcification attached to the distal end of the trabeculation. She was extensively investigated to find out the etiology of endomyocardial calcification but no cause of either metastatic or dystrophic calcification was found. We believe this may reflect a variant of left ventricular non-compaction (LVNC) in view of the CMR findings. Association between extensive endomyocardial calcification and left ventricular non-compaction has not been reported in literature before.
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