Journal of Cardiovascular Echography

CASE REPORT
Year
: 2013  |  Volume : 23  |  Issue : 3  |  Page : 81--83

Severe midventricular hypertrophic obstructive cardiomyopathy and apical aneurysm


Giuseppe Gibelli, Salvatore Biasi, Valeria Buonamici 
 Department of Cardiology, S Carlo Clinic, Paderno Dugnano, Milan, Italy

Correspondence Address:
Giuseppe Gibelli
via Genova 13, 20090 Settala, Milan
Italy

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.


How to cite this article:
Gibelli G, Biasi S, Buonamici V. Severe midventricular hypertrophic obstructive cardiomyopathy and apical aneurysm.J Cardiovasc Echography 2013;23:81-83


How to cite this URL:
Gibelli G, Biasi S, Buonamici V. Severe midventricular hypertrophic obstructive cardiomyopathy and apical aneurysm. J Cardiovasc Echography [serial online] 2013 [cited 2022 Jan 18 ];23:81-83
Available from: https://www.jcecho.org/article.asp?issn=2211-4122;year=2013;volume=23;issue=3;spage=81;epage=83;aulast=Gibelli;type=0