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Subaortic Membrane With Mitral Chordae Rupture Mimicking Left Ventricular Outflow Tract Obstruction in Hypertrophic
Mohamad Omar Choukair1, Ahmad Halawi2, Amal Nehmeh1
1Department of Cardiovascular Medicine, Lebanese University Faculty of Medical Sciences, Beirut, LBN.
Insights
Hypertrophic cardiomyopathy (HCM) and subaortic membrane (SAM) can cause similar symptoms. Differentiating these conditions is crucial for appropriate treatment and intervention, as highlighted in a case misdiagnosis.
Area of Science:
- Cardiology
- Medical Diagnostics
Background:
- Hypertrophic cardiomyopathy (HCM) is an inherited condition causing left ventricular outflow tract (LVOT) obstruction.
- Subaortic membrane (SAM) is a rare cause of LVOT obstruction, mimicking HCM symptoms like syncope and dyspnea.
- Accurate differentiation between HCM and SAM is critical for guiding patient management and intervention strategies.
Abstract:
Hypertrophic cardiomyopathy (HCM) is an autosomal-dominant disorder that can lead to left ventricular outflow tract (LVOT) obstruction. Some patients present with syncope, dyspnea, chest pain, or sudden cardiac death. A subaortic membrane (SAM) is an unusual cause of ventricular outflow tract obstruction causing symptoms that can imitate HCM. It is essential to differentiate between these two entities, as it has important implications in guiding treatment and determining the type of intervention. Echocardiography is the gold standard modality for the diagnosis. In this report, we present a case of a 56-year-old man presenting with subaortic stenosis with ruptured mitral chordae misdiagnosed as HCM with SAM.
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