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[Apical hypertrophic cardiomyopathy associated with coronary artery disease]
F M Albanesi Filho1, J S Lopes, J D Aron Diamant
1Universidade do Estado do Rio de Janeiro, UERJ.
Arquivos Brasileiros De Cardiologia
|November 17, 1998
Insights
A patient with hypertrophic cardiomyopathy experienced worsening angina due to multivessel coronary artery disease. Myocardial revascularization successfully improved his condition and reduced left atrium size.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
- Worsening angina can indicate significant coronary artery disease (CAD).
Observation:
- A 59-year-old male with known HCM presented with increased angina symptoms.
- Diagnostic workup revealed multivessel coronary artery disease.
Findings:
- The patient underwent successful myocardial revascularization using arterial and venous grafts.
- Post-procedure, the patient showed good clinical evolution.
Implications:
- Myocardial revascularization is an effective treatment for CAD in HCM patients.
- Successful revascularization can lead to improved cardiac function and reduced left atrial dimensions.
Abstract:
A fifty-nine year old man, known to have hypertrophic cardiomyopathy, presented worsening of angina. Multivessel coronary artery disease was diagnosed, and he underwent myocardial revascularization (mammary and two safenous grafts were implanted) with good evolution and reduction of left atrium dimension.