J Cardiovasc Ultrasound.  2014 Sep;22(3):158-159. 10.4250/jcu.2014.22.3.158.

Mid-Ventricular Hypertrophic Obstructive Cardiomyopathy Complicated by an Apical Aneurysm, Presenting as Ventricular Tachycardia

Affiliations
  • 1Division of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece. emmgpetrou@hotmail.com

Abstract

No abstract available.

Keyword

Hypertrophic obstructive cardiomyopathy; Apical aneurysm; Ventricular tachycardia

MeSH Terms

Aneurysm*
Cardiomyopathy, Hypertrophic*
Tachycardia, Ventricular*

Figure

  • Fig. 1 A: Presenting electrocardiogram showing ventricular tachycardia at 200 beats/min. B: Electrocardiogram revealing sinus rhythm with deep T-wave inversion in the anterior leads after intravenous procainamide administration. C: Left ventriculography demonstrating mid-ventricular obliteration. D and E: Two-dimensional echocardiography. F: Contrast echocardiography. G and H: Three-dimensional echocardiography, showing left mid-ventricular hypertrophy with an apical aneurysm. I: Intraventricular flow velocity of 4 m/s.


Reference

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2. Efthimiadis GK, Pliakos C, Pagourelias ED, Parcharidou DG, Spanos G, Paraskevaidis S, Styliadis IH, Parcharidis G. Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm formation in a single family: case report. Cardiovasc Ultrasound. 2009; 7:26.
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3. Maron MS, Finley JJ, Bos JM, Hauser TH, Manning WJ, Haas TS, Lesser JR, Udelson JE, Ackerman MJ, Maron BJ. Prevalence, clinical significance, and natural history of left ventricular apical aneurysms in hypertrophic cardiomyopathy. Circulation. 2008; 118:1541–1549.
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4. Holloway CJ, Betts TR, Neubauer S, Myerson SG. Hypertrophic cardiomyopathy complicated by large apical aneurysm and thrombus, presenting as ventricular tachycardia. J Am Coll Cardiol. 2010; 56:1961.
Article
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