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A complicated trilogy: persistent left superior vena cava with hypertrophic cardiomyopathy and atrial septal defect

Umut Kocabas1, Esra Kaya1, Cahide Soydas Cinar1

  • 1U Kocabas, Department of Cardiology, Ege University School of Medicine, Izmir, TurkeyE Kaya, Department of Cardiology, Ege University School of Medicine, Izmir, TurkeyC Soydas Cinar, Department of Cardiology, Ege University School of Medicine, Izmir, Turkey.

Echo Research and Practice
|June 19, 2016
PubMed

Insights

This case study highlights hypertrophic cardiomyopathy (HCM), a heart muscle disease diagnosed in a young woman via echocardiography and MRI. Early detection of HCM is crucial for managing this genetic heart condition.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Hypertrophic cardiomyopathy (HCM) is a primary genetic heart disease.
  • It often presents with unexplained heart murmurs or ventricular hypertrophy.

Purpose of the Study:

  • To report a case of hypertrophic cardiomyopathy (HCM) diagnosed in an asymptomatic young woman.
  • To illustrate the diagnostic utility of echocardiography and cardiac MRI in HCM.

Main Methods:

  • Transthoracic echocardiography (TTE) was used to assess ventricular hypertrophy.
  • Contrast-enhanced magnetic resonance imaging (MRI) with late gadolinium enhancement was performed for confirmation.

Main Results:

  • TTE revealed significant septal thickness (26 mm), indicative of HCM.
  • Cardiac MRI confirmed the diagnosis and showed late gadolinium enhancement in the anterior wall.

Conclusions:

  • This case underscores the importance of investigating heart murmurs, even in asymptomatic individuals.
  • Advanced imaging techniques like MRI are vital for definitive HCM diagnosis and characterization.

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