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Obstruction and sequestration: a case of apical hypertrophic cardiomyopathy concomitant with subaortic obstruction,

Chao-Chin Chen1, Meng-Huan Lei, Yen-Jen Sung

  • 1Department of Medicine, Lo-Tung Poh-Ai Hospital, Lotung, I-Lan, 265, Taiwan. chen.stpaul@msa.hinet.net

The International Journal of Cardiovascular Imaging
|September 25, 2009
PubMed

Insights

This study details a rare case of apical hypertrophic cardiomyopathy with multiple left ventricular pressure gradients. Advanced imaging confirmed complex cardiac conditions, including subaortic obstruction and aortic stenosis.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Cardiovascular Diseases

Background:

  • Apical hypertrophic cardiomyopathy (AHC) is a rare form of hypertrophic cardiomyopathy.
  • Concomitant cardiac conditions can complicate diagnosis and management.

Observation:

  • A unique case presented with AHC, subaortic obstruction, apical sequestration, and valvular aortic stenosis.
  • Echocardiography revealed conflicting findings and quadruple pressure gradients within the left ventricle.

Findings:

  • Conflicting echocardiographic results were consistent with 64-slice computed tomography (CT) imaging.
  • Cardiac catheterization corroborated the complex pressure gradient findings.

Implications:

  • This case highlights the diagnostic challenges of complex AHC presentations.
  • Multimodality imaging is crucial for accurate assessment of intricate left ventricular pressure gradients.

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