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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Main Authors: Helena Nogueira Soufen, Clovis de Carvalho Frimm, Luiz Alberto Benvenuti, Charles Mady
Format: Article
Language:English
Published: Sociedade Brasileira de Cardiologia (SBC) 2000-08-01
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.
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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