Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jan-Mar;8(1):44-47.
doi: 10.4103/IJCIIS.IJCIIS_47_17.

Takotsubo cardiomyopathy with Basal Hypertrophy and outflow obstruction in a patient with bowel ischemia

Ahmad Abuarqoub  1 , Rana Garis  1 , Hamid Shaaban  2 , Ibrahim Khaddash  1 , Fayez Shamoon  1
Affiliations
Case Reports

Takotsubo cardiomyopathy with Basal Hypertrophy and outflow obstruction in a patient with bowel ischemia

Ahmad Abuarqoub et al. Int J Crit Illn Inj Sci. 2018 Jan-Mar.

Abstract

Basal septal hypertrophy is a rare and unique anatomical finding associated with hypertrophic cardiomyopathy (HCM). It is also described as a sigmoid hypertrophy and is linked with aging and chronic hypertension. Takotsubo cardiomyopathy is a transient cardiomyopathy that occurs during periods of high physical or emotional stress. Its occurrence with HCM is relatively common; however, this presentation occurs more often with the classic asymmetrical septal hypertrophy or the apical variant. This case demonstrates its coexistence with isolated sigmoid hypertrophy in an elderly, hypertensive female with severe ischemic bowel disease.

Keywords: Basal hypertrophy; bowel ischemia; takotsubo.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
EKG showing ST-segment elevation on anteroseptal leads with reciprocal changes on inferolateral leads
Figure 2
Figure 2
Two-chamber view with color Doppler showing severe eccentric mitral regurgitation Jet
Figure 3
Figure 3
Two-chamber view showing hypokinesis from mid anterior wall to apex
Figure 4
Figure 4
Left ventriculogram showing ventricular apical ballooning
Figure 5
Figure 5
Pressure tracing during pull back showing the increased LVOT gradient
Figure 6
Figure 6
Chamber View showing resolution of apical ballooning and wall motion abnormalities
See this image and copyright information in PMC

References

    1. Kelshiker MA, Mayet J, Unsworth B, Okonko DO. Basal septal hypertrophy. Curr Cardiol Rev. 2013;9:325–30. - PMC - PubMed
    1. Armstrong WF, Ryan T, Feigenbaum H. Feigenbaum's Echocardiography. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
    1. Lee JW, Kim JY. Stress-induced cardiomyopathy: The role of echocardiography. J Cardiovasc Ultrasound. 2011;19:7–12. - PMC - PubMed
    1. Turer AT, Samad Z, Valente AM, Parker MA, Hayes B, Kim RJ, et al. Anatomic and clinical correlates of septal morphology in hypertrophic cardiomyopathy. Eur J Echocardiogr. 2011;12:131–9. - PubMed
    1. Aboulhosn J, Child JS. Left ventricular outflow obstruction: Subaortic stenosis, bicuspid aortic valve, supravalvar aortic stenosis, and coarctation of the aorta. Circulation. 2006;114:2412–22. - PubMed

Publication types