Midventricular Obstructive Hypertrophic Cardiomyopathy with Apical Aneurysm: Left Ventricular Hemodynamic and Angiographic Findings

Midventricular Obstructive Hypertrophic Cardiomyopathy

Authors

  • Antonis S Manolis First Department of Cardiology, Athens University School of Medicine, Athens, Greece
  • Antonis A. Manolis Patras University School of Medicine

Abstract

A case of a 50-year-old patient with a midventricular obstructive hypertrophic cardiomyopathy is presented and the left ventricular hemodynamic and angiographic findings are depicted and discussed.  Rhythmos 2022; 17(2):36-38.

References

Ommen SR, Mital S, Burke MA, et al. 2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation 2020;142:e558-e631.

Maron BJ, Desai MY, Nishimura RA, et al. Diagnosis and Evaluation of Hypertrophic Cardiomyopathy: JACC State-of-the-Art Review. J Am Coll Cardiol 2022;79:372-89.

Cui L, Tse G, Zhao Z, et al. Mid-ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm: An important subtype of arrhythmogenic cardiomyopathy. Ann Noninvasive Electrocardiol 2019;24:e12638.

Rowin EJ, Maron BJ, Haas TS, et al. Hypertrophic Cardiomyopathy With Left Ventricular Apical Aneurysm: Implications for Risk Stratification and Management. J Am Coll Cardiol 2017;69:761-73.

Martinez MW, Sorajja P, Ommen SR. Mid-cavitary obstruction in hypertrophic cardiomyopathy. Heart 2008;94:1287.

Mavilakandy A, Ahamed H. Mutation of the MYL3 gene in a patient with mid-ventricular obstructive hypertrophic cardiomyopathy. BMJ Case Rep 2022;15.

Wilson P, Marks A, Rastegar H, Manolis AS, Estes NA, 3rd. Apical hypertrophic cardiomyopathy presenting with sustained monomorphic ventricular tachycardia and electrocardiographic changes simulating coronary artery disease and left ventricular aneurysm. Clin Cardiol 1990;13:885-7.

Fath AR, Jokerst CE, Aglan A, Mihyawi N, Mookadam F. Multimodality Imaging Demonstrating an Apical Variant Hypertrophic Cardiomyopathy in an Uncommon Pentad. J Investig Med High Impact Case Rep 2020;8:2324709620934324.

Minami Y, Kajimoto K, Terajima Y, et al. Clinical implications of midventricular obstruction in patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 2011;57:2346-55.

Nie C, Zhu C, Xiao M, et al. Mid-ventricular obstruction is associated with non-sustained ventricular tachycardia in patients with hypertrophic obstructive cardiomyopathy. Clin Cardiol 2021;44:555-62.

Efthimiadis GK, Pagourelias ED, Parcharidou D, et al. Clinical characteristics and natural history of hypertrophic cardiomyopathy with midventricular obstruction. Circ J 2013;77:2366-74.

Maron MS, Finley JJ, Bos JM, et al. Prevalence, clinical significance, and natural history of left ventricular apical aneurysms in hypertrophic cardiomyopathy. Circulation 2008;118:1541-9.

Yang K, Song YY, Chen XY, et al. Apical hypertrophic cardiomyopathy with left ventricular apical aneurysm: prevalence, cardiac magnetic resonance characteristics, and prognosis. Eur Heart J Cardiovasc Imaging 2020;21:1341-50.

Elsheshtawy MO, Mahmoud AN, Abdelghany M, et al. Left ventricular aneurysms in hypertrophic cardiomyopathy with midventricular obstruction: A systematic review of literature. Pacing Clin Electrophysiol 2018;41:854-65.

Papanastasiou CA, Zegkos T, Karamitsos TD, et al. Prognostic role of left ventricular apical aneurysm in hypertrophic cardiomyopathy: A systematic review and meta-analysis. Int J Cardiol 2021;332:127-32.

Downloads

Published

2022-04-04 — Updated on 2022-04-04

Versions

Issue

Section

Images in Cardiology