Severe Midventricular Hypertrophic Obstructive Cardiomyopathy and Apical Aneurysm

被引：0
|
作者：
Gibelli, Giuseppe [1 ]
Biasi, Salvatore [1 ]
Buonamici, Valeria [1 ]
机构：
[1] S Carlo Clin, Dept Cardiol, Milan, Italy
来源：
JOURNAL OF CARDIOVASCULAR ECHOGRAPHY | 2013年 / 23卷 / 03期
关键词：
Apical aneurysm of left ventricle; hypertrophic cardiomyopathy; midventricular obstruction;
D O I：
10.4103/2211-4122.123954
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 40-year-old man was found to have hypertrophic cardiomyopathy (HCM) with severe mid ventricular obstruction. The obstruction produced two distinct left ventricular chambers with an estimated 60 mmHg continuous wave (CW) Doppler intraventricular gradient. Pulsed wave (PW) Doppler showed high velocity systodiastolic flow from apex to base and flow from base to apex confined mostly to the second half of diastole. Cardiac magnetic resonance (CMR) showed midventricular obstruction, due to septal, parietal, and to an hypertrophic, double posteromedial papillary muscle; an apical aneurysm was detected. Aneurysm is underdiagnosed by echocardiography in HCM and an accurate anatomic definition is needed if surgery is planned; thus, a CMR should always be obtained in these patients.
引用
收藏
页码：81 / 83
页数：3
相关论文
共 50 条
  • [1] FATAL CONSPIRACY: MIDVENTRICULAR OBSTRUCTIVE HYPERTROPHIC CARDIOMYOPATHY COMPLICATED BY GIANT APICAL ANEURYSM AND SEVERE MITRAL REGURGITATION
    Capodaglio, I.
    Lombardi, G.
    Vagnarelli, F.
    Lofiego, C.
    Tofoni, P.
    Pietrucci, F.
    Schicchi, N.
    Pirani, P. Esposto
    Perna, G.
    EUROPEAN HEART JOURNAL SUPPLEMENTS, 2023, 25 : D184 - D185
  • [2] Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm - A case report
    Harada, K
    Shimizu, T
    Sugishita, Y
    Yao, A
    Suzuki, J
    Takenaka, K
    Hirata, Y
    Nagai, R
    Takahashi, T
    JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 2001, 65 (10): : 915 - 919
  • [3] Phenotypic overlap in hypertrophic cardiomyopathy: Apical hypertrophy, midventricular obstruction, and apical aneurysm
    Minami, Yuichiro
    Haruki, Shintaro
    Hagiwara, Nobuhisa
    JOURNAL OF CARDIOLOGY, 2014, 64 (5-6) : 463 - 469
  • [4] The ''syndrome'' of midventricular obstruction with apical, aneurysm in hypertrophic cardiomyopathy: A case report
    Torrecilla, EG
    FernandezYanez, J
    Garcia, E
    David, EP
    Fernandez, MAG
    Delcan, JL
    REVISTA ESPANOLA DE CARDIOLOGIA, 1997, 50 (08): : 586 - 589
  • [5] The upside down heart: inverse gradient in a midventricular hypertrophic cardiomyopathy with apical aneurysm
    Moennig, Gerold
    Stegger, Lars
    Grove, Rainer
    Balzer, Stefan
    EUROPEAN HEART JOURNAL-CASE REPORTS, 2021, 5 (08)
  • [6] Midventricular Hypertrophic Cardiomyopathy with Apical Aneurysm: Potential for Underdiagnosis and Value of Multimodality Imaging
    Sivanandam, Archana
    Ananthasubramaniam, Karthik
    CASE REPORTS IN CARDIOLOGY, 2016, 2016
  • [7] Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm formation in a single family: case report
    Efthimiadis, Georgios K.
    Pliakos, Christodoulos
    Pagourelias, Efstathios D.
    Parcharidou, Despina G.
    Spanos, Georgios
    Paraskevaidis, Stylianos
    Styliadis, Ioannis H.
    Parcharidis, Georgios
    CARDIOVASCULAR ULTRASOUND, 2009, 7
  • [8] Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm formation in a single family: case report
    Georgios K Efthimiadis
    Christodoulos Pliakos
    Efstathios D Pagourelias
    Despina G Parcharidou
    Georgios Spanos
    Stylianos Paraskevaidis
    Ioannis H Styliadis
    Georgios Parcharidis
    Cardiovascular Ultrasound, 7
  • [9] Numerical Simulation Study on the Mechanism of Formation of Apical Aneurysm in Hypertrophic Cardiomyopathy With Midventricular Obstruction
    Deng, Long
    Zuo, Heng
    Li, An
    Yang, Chun
    Huang, Xueying
    FRONTIERS IN PHYSIOLOGY, 2021, 12
  • [10] Clinical characteristics of midventricular hypertrophic obstructive cardiomyopathy
    Cai, Chi
    Wang, Zhimin
    Yan, Lirong
    Liu, Yanling
    Tao, Yongkang
    Xu, Zhimin
    Li, Yishi
    Fan, Chaomei
    CARDIOLOGY, 2011, 120 : 94 - 95
12345