Apical aneurysm and left ventricular hypertrophy
A 59-year-old woman presented with an embolic transient ischemic attack and a history of controlled hypertension for 16 years. Both echocardiogram and MRI showed severe biventricular hypertrophy and an apical aneurysm with a thrombus. The occurrence of an apical aneurysm in the presence of cardiac h...
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Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Cardiologia (SBC)
2000-08-01
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Series: | Arquivos Brasileiros de Cardiologia |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000000800007 |
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author | Helena Nogueira Soufen Clovis de Carvalho Frimm Luiz Alberto Benvenuti Charles Mady |
author_facet | Helena Nogueira Soufen Clovis de Carvalho Frimm Luiz Alberto Benvenuti Charles Mady |
author_sort | Helena Nogueira Soufen |
collection | DOAJ |
description | A 59-year-old woman presented with an embolic transient ischemic attack and a history of controlled hypertension for 16 years. Both echocardiogram and MRI showed severe biventricular hypertrophy and an apical aneurysm with a thrombus. The occurrence of an apical aneurysm in the presence of cardiac hypertrophy is a rare finding and has been described in patients with hypertrophic cardiomyopathy. However, it has not been reported in patients with systemic arterial hypertension. In this patient the lack of a relationship between the severity of the hypertrophy and the levels of blood pressure, together with the presence of histologic disorganization of myocardial cardiac muscle cells by endomyocardial biopsy suggested the diagnosis of hypertrophic cardiomyopathy. |
first_indexed | 2024-04-14T05:06:46Z |
format | Article |
id | doaj.art-a19869ef2bcb4f9aa3ee2216d5283321 |
institution | Directory Open Access Journal |
issn | 0066-782X 1678-4170 |
language | English |
last_indexed | 2024-04-14T05:06:46Z |
publishDate | 2000-08-01 |
publisher | Sociedade Brasileira de Cardiologia (SBC) |
record_format | Article |
series | Arquivos Brasileiros de Cardiologia |
spelling | doaj.art-a19869ef2bcb4f9aa3ee2216d52833212022-12-22T02:10:40ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia0066-782X1678-41702000-08-0175214815010.1590/S0066-782X2000000800007Apical aneurysm and left ventricular hypertrophyHelena Nogueira SoufenClovis de Carvalho FrimmLuiz Alberto BenvenutiCharles MadyA 59-year-old woman presented with an embolic transient ischemic attack and a history of controlled hypertension for 16 years. Both echocardiogram and MRI showed severe biventricular hypertrophy and an apical aneurysm with a thrombus. The occurrence of an apical aneurysm in the presence of cardiac hypertrophy is a rare finding and has been described in patients with hypertrophic cardiomyopathy. However, it has not been reported in patients with systemic arterial hypertension. In this patient the lack of a relationship between the severity of the hypertrophy and the levels of blood pressure, together with the presence of histologic disorganization of myocardial cardiac muscle cells by endomyocardial biopsy suggested the diagnosis of hypertrophic cardiomyopathy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000000800007 |
spellingShingle | Helena Nogueira Soufen Clovis de Carvalho Frimm Luiz Alberto Benvenuti Charles Mady Apical aneurysm and left ventricular hypertrophy Arquivos Brasileiros de Cardiologia |
title | Apical aneurysm and left ventricular hypertrophy |
title_full | Apical aneurysm and left ventricular hypertrophy |
title_fullStr | Apical aneurysm and left ventricular hypertrophy |
title_full_unstemmed | Apical aneurysm and left ventricular hypertrophy |
title_short | Apical aneurysm and left ventricular hypertrophy |
title_sort | apical aneurysm and left ventricular hypertrophy |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2000000800007 |
work_keys_str_mv | AT helenanogueirasoufen apicalaneurysmandleftventricularhypertrophy AT clovisdecarvalhofrimm apicalaneurysmandleftventricularhypertrophy AT luizalbertobenvenuti apicalaneurysmandleftventricularhypertrophy AT charlesmady apicalaneurysmandleftventricularhypertrophy |