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Noonan syndrome and different morphologic expressions of hypertrophic cardiomyopathy
Efrén Martínez-Quintana1, Fayna Rodríguez-González, Paula Junquera-Rionda
1Cardiology Service, Complejo Hospitalario Universitario Insular Materno Infantil, Avenida Marítima del Sur, s/n. 35016, Las Palmas de Gran Canaria, Spain, efrenmartinezquintana@yahoo.es.
Insights
This case report highlights a rare subgroup of hypertrophic cardiomyopathy in a patient with Noonan syndrome. The findings emphasize the complex and heterogeneous nature of this cardiac disease.
Area of Science:
- Cardiology
- Genetics
- Rare Diseases
Background:
- Hypertrophic cardiomyopathy (HCM) is a complex cardiac condition with significant clinical heterogeneity.
- A poorly understood subgroup of HCM involves ventricular diverticulum, myocardial bridging, and left ventricular crypts.
Observation:
- This report details a case of Noonan syndrome.
- The patient presented with four distinct HCM characteristics: ventricular diverticulum, coronary myocardial bridging, left ventricular crypts, and crevices.
Findings:
- The co-occurrence of Noonan syndrome and this specific HCM subtype is documented.
- This case illustrates the phenotypic variability within hypertrophic cardiomyopathy.
Implications:
- Recognizing this HCM subgroup is crucial for accurate diagnosis and management.
- Further research is needed to understand the genetic and pathophysiological links between Noonan syndrome and these cardiac anomalies.
Abstract:
Hypertrophic cardiomyopathy is the disease with the largest heterogeneity in clinical cardiology. An underrecognized and incompletely described subgroup within this spectrum comprises patients with ventricular diverticulum, coronary myocardial bridging, and left ventricular crypts and crevices. This report presents the case of a Noonan syndrome patient with these four hypertrophic cardiomyopathy characteristics.
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