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Updated: May 5, 2026

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy
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Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy

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Apical Hypertrophic Cardiomyopathy With a Sub-aortic Membrane: A Case Report

Akbar Hussain1, Adnan Bhopalwala2, Huzefa Bhopalwala2,3

  • 1Internal Medicine, Appalachian Regional Health, Harlan, USA.

Cureus
|February 26, 2024
PubMed

Insights

Hypertrophic obstructive cardiomyopathy (HOCM) and subaortic membrane (SAS) can coexist, complicating diagnosis and treatment. Comprehensive evaluation is crucial for managing these distinct cardiac conditions effectively.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Hypertrophic obstructive cardiomyopathy (HOCM) is a primary myocardial disease.
  • Subaortic membrane (SAS) is a congenital or acquired fibrous ridge causing left ventricular outflow tract (LVOT) obstruction.

Observation:

  • A 52-year-old male presented with dyspnea and chest tightness.
  • Diagnostic evaluations revealed coexisting HOCM and a subaortic membrane.

Findings:

  • The patient exhibited dynamic LVOT obstruction due to HOCM.
  • A fixed LVOT obstruction was caused by the subaortic membrane.

Implications:

  • Concurrent HOCM and SAS present unique diagnostic challenges.
  • A thorough diagnostic approach is essential for effective management.
  • This case underscores the need for careful assessment in complex cardiac presentations.

Keywords:
apical hypertrophy cardiomyopathyheart surgeryhypertrophic obstructive cardiomyopathy (hocm)hypertrophy cardiomyopathysubaortic stenosis

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