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Subaortic and mid-ventricular obstructive hypertrophic cardiomyopathy with an apical aneurysm: a case report.
Cianciulli, Tomás Francisco; Saccheri, María Cristina; Konopka, Isabel Victoria; Serans, Dora Faustina; Acunzo, Rafael Salvador; Escudero, Alejandro Mario García; Masoli, Osvaldo Horacio; Prezioso, Horacio Alberto.
Afiliação
  • Cianciulli TF; Department of Cardiology, Hospital del Gobierno de la Ciudad de Buenos Aires Dr, Cosme Argerich, Buenos Aires, Argentina. tcianciulli@fibertel.com.ar
Cardiovasc Ultrasound ; 4: 15, 2006 Mar 22.
Article em En | MEDLINE | ID: mdl-16553961
BACKGROUND: 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 coexistence 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. CASE PRESENTATION: 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. CONCLUSION: 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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cardiomiopatia Hipertrófica / Aneurisma Cardíaco Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Cardiovasc Ultrasound Assunto da revista: ANGIOLOGIA / CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Argentina País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cardiomiopatia Hipertrófica / Aneurisma Cardíaco Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Female / Humans / Middle aged Idioma: En Revista: Cardiovasc Ultrasound Assunto da revista: ANGIOLOGIA / CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Argentina País de publicação: Reino Unido