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Updated: Jan 20, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Isolated Right Ventricular Hypertrophic Cardiomyopathy Mimicking an Intramural Mass in a 13-Year-Old Male
Hu Tingting1, Ma Guotao2, Li Xiaona3
1Department of Cardiology Peking Union Medical College Hospital, Chinese Academy of Medical Sciences Beijing China.
Insights
Hypertrophic cardiomyopathy (HCM) typically affects the left ventricle. This case highlights a rare instance of severe right ventricular hypertrophy causing right ventricular outflow tract (RVOT) obstruction, a unique presentation of HCM.
Area of Science:
- Cardiology
- Pathology
- Medical Imaging
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary disease of the left ventricle.
- Right ventricular hypertrophy and outflow tract obstruction are uncommon manifestations of HCM.
Purpose of the Study:
- To present a rare case of hypertrophic cardiomyopathy presenting with significant right ventricular hypertrophy and outflow tract obstruction.
- To discuss the diagnostic challenges and considerations for RVOT-type HCM.
Main Methods:
- Review of clinical presentation, diagnostic imaging (echocardiography, MRI), and pathological findings.
- Intraoperative observation and histopathological examination were crucial for diagnosis.
Main Results:
- The case presented with severe right ventricular hypertrophy leading to significant right ventricular outflow tract obstruction.
- Hypertrophic myocardium in the right ventricle mimicked intramural masses, complicating diagnosis.
Conclusions:
- Right ventricular outflow tract obstruction is a rare but possible complication of hypertrophic cardiomyopathy.
- Accurate diagnosis of RVOT-type HCM requires a combination of advanced imaging, intraoperative assessment, and pathological analysis.
Abstract:
Hypertrophic cardiomyopathy (HCM) primarily involves the left ventricle, with severe right ventricular hypertrophy or right ventricular outflow tract (RVOT) obstruction being rare. Hypertrophic myocardium may mimic intramural masses, requiring imaging, intraoperative observation and pathological examination for diagnosis. Here, we present a case of RVOT-type HCM.
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