Mid-ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm and sustained ventricular tachycardia: a case report and literature review

被引：14
|
作者：
Gao Xiao-jin [1 ,2 ,3 ]
Kang Lian-ming [1 ,2 ,3 ]
Zhang Jian [1 ,2 ,3 ]
Dou Ke-fei [1 ,2 ,3 ]
Yuan Jian-song [1 ,2 ,3 ]
Yang Yue-jin [1 ,2 ,3 ]
机构：
[1] Chinese Acad Med Sci, Dept Cardiol, Cardiovasc Inst, Beijing 100037, Peoples R China
[2] Chinese Acad Med Sci, Fuwai Hosp, Beijing 100037, Peoples R China
[3] Peking Union Med Coll, Beijing 100037, Peoples R China
来源：
CHINESE MEDICAL JOURNAL | 2011年 / 124卷 / 11期
关键词：
hypertrophic cardiomyopathy; aneurysm; ventricular tachycardia;
D O I：
10.3760/cma.j.issn.0366-6999.2011.11.029
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The case is a 54-year-old man with hypertrophic cardiomyopathy, mid-ventricular obstruction, apical aneurysm, and recurrence sustained monomorphic ventricular tachycardia (VT). A coronary angiogram revealed myocardial bridging located in the middle of the left anterior descending coronary artery (LAD), and the left ventriculogram showed an hour-glass appearance of the left ventricular cavity. There was a significant pressure gradient of 60 mmHg across the mid-ventricular obliteration at rest. A successful myectomy of the inappropriate hypertrophy myocardium and excision of the apical aneurysm were performed. Pathologic analysis demonstrated fibrosis in the apical aneurysm and thickened and narrowed vessels in the adjacent area. During the follow-up of eighteen months, the patient remained clinically stable and free from arrhythmic recurrence. Chin Med J 2011;124(11):1754-1757
引用
收藏
页码：1754 / 1757
页数：4
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