Apical hypertrophic cardiomyopathy with left ventricular apical aneurysm: Importance of multi‐modality imaging |
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| Authors: | Nisharahmed Kherada MD Juan M Vinardell MD Christos G Mihos DO Orlando Santana MD |
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| Institution: | 1. Columbia University Division of Cardiology at the Mount Sinai Heart Institute, Miami Beach, FL, USA;2. Department of Internal Medicine, Mount Sinai Medical Center, Miami Beach, FL, USA;3. Cardiac Ultrasound Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA |
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| Abstract: | Apical hypertrophic cardiomyopathy (HCM) is an uncommon variant of HCM characterized by apical hypertrophy without the septal predominance seen in the majority of HCM cases. In 2% of patients, a concomitant left ventricular apical aneurysm is observed, which increases the risk of sudden death and adverse HCM‐related events. Multimodality imaging is helpful for appropriate identification of this particular morphologic pattern. Herein, we present a case of apical HCM with a left ventricular apical aneurysm, exemplifying the utility of a multimodality approach from resting electrocardiogram, transthoracic echocardiogram, left ventriculography, and cardiac magnetic resonance imaging, for proper risk stratification and treatment planning. |
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| Keywords: | diagnostic imaging tools echocardiography hypertrophic cardiomyopathy |
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