中华医学杂志（英文版）2011，Vol.124Issue(11)：1754-1757,4.DOI:10.3760/CMA.J.ISSN.0366-6999.2011.11.029
Mid-ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm and sustained ventricular tachycardia: a case report and literature review
Mid-ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm and sustained ventricular tachycardia: a case report and literature review
GAO Xiao-jin 1KANG Lian-ming 1ZHANG Jian 1DOU Ke-fei 1YUAN Jian-song 1YANG Yue-jin1
作者信息
摘要
Abstract
The case is a 54-year-old man with hypertrophic cardiomyopathy, mid-ventricular obstruction, apical aneurysm, and recurrence sustained monomorphic ventricular tachycardia (VT). A coronary angiogram revealed myocardial bridging located in the middle of the left anterior descending coronary artery (LAD), and the left ventriculogram showed an hour-glass appearance of the left ventricular cavity. There was a significant pressure gradient of 60 mmHg across the mid-ventricular obliteration at rest. A successful myectomy of the inappropriate hypertrophy myocardium and excision of the apical aneurysm were performed. Pathologic analysis demonstrated fibrosis in the apical aneurysm and thickened and narrowed vessels in the adjacent area. During the follow-up of eighteen months, the patient remained clinically stable and free from arrhythmic recurrence.关键词
hypertrophic cardiomyopathy/aneurysm/ventricular tachycardiaKey words
hypertrophic cardiomyopathy/aneurysm/ventricular tachycardia引用本文复制引用
GAO Xiao-jin,KANG Lian-ming,ZHANG Jian,DOU Ke-fei,YUAN Jian-song,YANG Yue-jin..Mid-ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm and sustained ventricular tachycardia: a case report and literature review[J].中华医学杂志（英文版）,2011,124(11):1754-1757,4.
