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
  • [31] APICAL HYPERTROPHIC CARDIOMYOPATHY WITH APICAL ANEURYSM - AN EMERGING HYPERTROPHIC CARDIOMYOPATHY PHENOTYPE POSING A MANAGEMENT CHALLENGE
    Butt, Mohammad Omar
    Ezegbu, Lisa
    Robbins, Inga
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2021, 77 (18) : 2184 - 2184
  • [32] Midventricular obstruction in hypertrophic cardiomyopathy
    Brezak, Tomas
    Veselka, Josef
    COR ET VASA, 2019, 61 (03) : 305 - 308
  • [33] Hypertrophic cardiomyopathy with left ventricular apical aneurysm
    Paredes Martinez, M. L.
    Sanchez Gonzalez, A.
    RADIOLOGIA, 2013, 55 (02): : 177 - 178
  • [34] Identical twins with hypertrophic cardiomyopathy and apical aneurysm
    Zenovich, AG
    Lesser, JR
    Hanna, CA
    Maron, BJ
    AMERICAN JOURNAL OF CARDIOLOGY, 2006, 97 (07): : 1109 - 1109
  • [35] Hypertrophic Cardiomyopathy With Left Ventricular Apical Aneurysm
    Abinader, Edward G.
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 70 (03) : 406 - 407
  • [36] Sustained ventricular tachycardia in a patient with midventricular hypertrophic cardiomyopathy and apycal aneurysm
    LopezMinguez, JR
    Herrera, AM
    Ortega, AC
    Nunez, VM
    GarciaAndoain, JM
    SuarezBarcenas, JMA
    delaConcha, LM
    delaConcha, JF
    Ruiz, FA
    REVISTA ESPANOLA DE CARDIOLOGIA, 1997, 50 (08): : 593 - 596
  • [37] Ventricular Tachycardia in Hypertrophic Cardiomyopathy With Apical Aneurysm
    Shah, Dipesh K.
    Schaff, Hartzell V.
    Abel, Martin D.
    Gersh, Bernard J.
    ANNALS OF THORACIC SURGERY, 2011, 91 (04): : 1263 - 1265
  • [38] Hypertrophic cardiomyopathy with apical left ventricular aneurysm
    Akutsu, Y
    Shinozuka, A
    Huang, TY
    Watanabe, T
    Yamada, T
    Yamanaka, H
    Saitou, T
    Geshi, E
    Takenaka, H
    Takeyama, Y
    Munechika, H
    Ban, Y
    Katagiri, T
    JAPANESE CIRCULATION JOURNAL-ENGLISH EDITION, 1998, 62 (02): : 127 - 131
  • [39] Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical aneurysm: A case report
    Cianciulli T.F.
    Saccheri M.C.
    Konopka I.V.
    Serans D.F.
    Acunzo R.S.
    García Escudero A.M.
    Masoli O.H.
    Prezioso H.A.
    Cardiovascular Ultrasound, 4 (1)
  • [40] THE IMPACT OF APICAL ANEURYSM ON THE SURVIVAL OF APICAL HYPERTROPHIC CARDIOMYOPATHY PATIENTS
    Ali, Adel Hajj
    Mehra, Nandini
    Ramchand, Jay
    Popovic, Zoran, IV
    Nakhla, Michael
    Ospina, Susan
    Xu, Bo
    Thamilarasan, Maran
    Desai, Milind Y.
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2023, 81 (08) : 476 - 476
12345