Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report
<p>Abstract</p> <p>Background</p> <p>Most patients with hypertrophic cardiomyopathy (HCM) have asymmetric septal hypertrophy and among them, 25% present dynamic subaortic obstruction. Apical HCM is unusual and mid-ventricular HCM is the most infrequent presentation, but...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2006-03-01
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| Series: | Cardiovascular Ultrasound |
| Online Access: | http://www.cardiovascularultrasound.com/content/4/1/15 |
| _version_ | 1811244398801846272 |
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| author | Acunzo Rafael Serans Dora Konopka Isabel Saccheri María Cianciulli Tomás Escudero Alejandro Masoli Osvaldo Prezioso Horacio |
| author_facet | Acunzo Rafael Serans Dora Konopka Isabel Saccheri María Cianciulli Tomás Escudero Alejandro Masoli Osvaldo Prezioso Horacio |
| author_sort | Acunzo Rafael |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Most patients with hypertrophic cardiomyopathy (HCM) have asymmetric septal hypertrophy and among them, 25% present dynamic subaortic obstruction. Apical HCM is unusual and mid-ventricular HCM is the most infrequent presentation, but both variants may be associated to an apical aneurysm. An even more rare presentation is the coexistece mid-ventricular and apical HCM. This case is a combination of obstructive HCM with mid-ventricular HCM and an apical aneurysm, which to date, has not been reported in the literature.</p> <p>Case presentation</p> <p>The patient is a 49 year-old lady who presents a combination of septal asymmetric hypertrophic cardiomyopathy (HCM) and midventricular HCM, a subaortic gradient of 65 mm Hg and a midventricular gradient of 20 mm Hg, plus an apical aneurysm. Her clinical presentation was an acute myocardial infarction in June 2005. One month after hospital discharge, the electrocardiogram (ECG) showed a right bundle branch block (RBBB) with no Q waves or ST segment elevation. Coronary angiography revealed normal coronary arteries, left ventricular hypertrophy and an apical aneurysm.</p> <p>Conclusion</p> <p>This case is a rare example of an asymptomatic patient with subaortic and mid-ventricular hypertrophic cardiomyopathy, who presents a myocardial infarction and normal coronary arteries, and during the course of her disease develops an apical aneurysm.</p> |
| first_indexed | 2024-04-12T14:23:11Z |
| format | Article |
| id | doaj.art-769685ff379141168fdef1fc52a3a65c |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-04-12T14:23:11Z |
| publishDate | 2006-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-769685ff379141168fdef1fc52a3a65c2022-12-22T03:29:30ZengBMCCardiovascular Ultrasound1476-71202006-03-01411510.1186/1476-7120-4-15Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case reportAcunzo RafaelSerans DoraKonopka IsabelSaccheri MaríaCianciulli TomásEscudero AlejandroMasoli OsvaldoPrezioso Horacio<p>Abstract</p> <p>Background</p> <p>Most patients with hypertrophic cardiomyopathy (HCM) have asymmetric septal hypertrophy and among them, 25% present dynamic subaortic obstruction. Apical HCM is unusual and mid-ventricular HCM is the most infrequent presentation, but both variants may be associated to an apical aneurysm. An even more rare presentation is the coexistece mid-ventricular and apical HCM. This case is a combination of obstructive HCM with mid-ventricular HCM and an apical aneurysm, which to date, has not been reported in the literature.</p> <p>Case presentation</p> <p>The patient is a 49 year-old lady who presents a combination of septal asymmetric hypertrophic cardiomyopathy (HCM) and midventricular HCM, a subaortic gradient of 65 mm Hg and a midventricular gradient of 20 mm Hg, plus an apical aneurysm. Her clinical presentation was an acute myocardial infarction in June 2005. One month after hospital discharge, the electrocardiogram (ECG) showed a right bundle branch block (RBBB) with no Q waves or ST segment elevation. Coronary angiography revealed normal coronary arteries, left ventricular hypertrophy and an apical aneurysm.</p> <p>Conclusion</p> <p>This case is a rare example of an asymptomatic patient with subaortic and mid-ventricular hypertrophic cardiomyopathy, who presents a myocardial infarction and normal coronary arteries, and during the course of her disease develops an apical aneurysm.</p>http://www.cardiovascularultrasound.com/content/4/1/15 |
| spellingShingle | Acunzo Rafael Serans Dora Konopka Isabel Saccheri María Cianciulli Tomás Escudero Alejandro Masoli Osvaldo Prezioso Horacio Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report Cardiovascular Ultrasound |
| title | Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report |
| title_full | Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report |
| title_fullStr | Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report |
| title_full_unstemmed | Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report |
| title_short | Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical Aneurysm: a case report |
| title_sort | subaortic and mid ventricular obstructive hypertrophic cardiomyopathy with an apical aneurysm a case report |
| url | http://www.cardiovascularultrasound.com/content/4/1/15 |
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