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. 2019 Jun 19;1(1):62-63.
doi: 10.1016/j.jaccas.2019.04.002. eCollection 2019 Jun.

Hypertrophic Midventricular Obstructive Cardiomyopathy Revealed by a Stroke

Michel Habis  1 , Isabel Charles  2 , Jean-François Paul  3
Affiliations

Hypertrophic Midventricular Obstructive Cardiomyopathy Revealed by a Stroke

Michel Habis et al. JACC Case Rep. .

Abstract

This case report describes the contributions of multimodality imaging to the diagnosis and management of midventricular hypertrophic cardiomyopathy revealed by a transient thromboembolic stroke. (Level of Difficulty: Intermediate.).

Keywords: cardiac magnetic resonance imaging; computed tomography; hypertrophic cardiomyopathy; stroke.

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Figures

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Graphical abstract
Figure 1
Figure 1
Multimodality Imaging of a 39-Year-Old Patient With Midventricular HCM Revealed by a Stroke (A) Inverted apical T waves on electrocardiogram. (B) Transthoracic echocardiography showing hypertrophic cardiomyopathy (HCM) with its mean systolic obstructive gradient leading to (C) an apical aneurysm. (D) Dual-source computed tomography showing midventricular myocardial hypertrophy in diastole and (E) its hourglass shape (asterisks) in systole with an apical aneurysm filled by 2 clots (arrows) missed by transthoracic echocardiography. (F) Cardiac magnetic resonance imaging showing systolic mid-ventricular obliteration of the LV (asterisks) and transmural fibrosis of the apical aneurysm containing the clots (arrows). LV = left ventricle.
See this image and copyright information in PMC

References

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