einstein (São Paulo). 13/Apr/2022;20:eAI6672.

Mid-ventricular obstruction in a patient with hypertrophic cardiomyopathy

Kevin Rafael De Paula , Cristhian Vicente Espinoza , Williams Roberto Lata , David Alejandro Salazar , Eduardo Kaiser Ururahy Nunes

DOI: 10.31744/einstein_journal/2022AI6672

An 18-year-old female patient with hypertrophic cardiomyopathy previously asymptomatic, diagnosed in family screening, who presented progressive dyspnea even upon mild exertion two months before. She was submitted to cardiac magnetic resonance ( and ), which showed asymmetrical myocardial hypertrophy with mid-ventricular septal predominance. The most common form of obstruction of the left ventricle outflow tract in hypertrophic cardiomyopathy is subaortic obstruction,() which generally results from left ventricle outflow tract narrowing by septal hypertrophy and systolic anterior motion of the mitral valve anterior cuspid.()

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Mid-ventricular obstruction in a patient with hypertrophic cardiomyopathy
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