Atrial septal defect in apical hypertrophic cardiomyopathy associated with coronary spasm |
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| Authors: | Morito Natsumi Ogawa Masahiro Matsuo Shizuka Mihara Hiroyuki Miyoshi Kei Yahiro Eiji Fujimi Kanta Ohta Takeaki Kodama Sunao Yamanouchi Yoshio Urata Hidenori Hiroki Tadayuki Saku Keijiro |
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| Affiliation: | 1. Saint Joseph''s Translational Research Institute/Saint Joseph''s Hospital of Atlanta, GA, USA;2. Emory University School of Medicine, Department of Medicine, Division of Cardiology, Atlanta, GA, USA |
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| Abstract: | Apical hypertrophic cardiomyopathy (HCM) is a well-known myocardial disease, but the additional coexistence of an atrial septal defect (ASD) and coronary spasm is quite rare. We report here on a 62-year-old man suffering from congestive heart failure due to apical HCM complicated by coronary spasm and secundum-type ASD. The transthoracic, transesophageal echocardiography and cardiac catheterization were useful for diagnosing and evaluating of the patient's status. A calcium channel blocker was given to prevent coronary spasm, and a surgical patch closure operation was successfully performed. Afterwards, his symptoms were alleviated. |
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