Multimodality imaging in hypertrophic cardiomyopathy associated with anomalous hypertrophied papillary muscles: A case report

I. Kammoun, Lemone Houchinne, S. Marrakchi, W. Amara, Z. Elhaj, S. Mokrani, F. Added, S. Kachboura
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引用次数: 1

Abstract

Introduction: Multimodality imaging can help rule in/out the diagnosis of hypertrophic cardiomyopathy (HCM) in patients with significant left ventricular (LV) hypertrophy. Case Presentation: We describe a 73-year-old woman referred to us for consultation because of a giant negative T wave on her electrocardiography. Echocardiography revealed diffuse severe hypertrophy associated with hypertrophied anterolateral papillary muscles with a bifid head and with extensive wall insertion into the apicolateral segment. Three-dimensional echocardiography and cardiac magnetic resonance confirmed these data. Importantly, automated function imaging determined the global longitudinal strain at -10.2%. Conclusions: According to our multimodality imaging approach, hypertrophic cardiomyopathy was the most probable diagnosis.
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肥厚性心肌病伴异常乳头状肌肥大的多模态成像:1例报告
导读:多模态成像可以帮助诊断肥厚性心肌病(HCM)的患者有明显的左心室(LV)肥大。病例介绍:我们描述了一位73岁的女性,因为她的心电图上有一个巨大的负T波而来我们咨询。超声心动图显示弥漫性严重肥厚,伴前外侧乳头肌肥厚,呈双头状,广泛的乳头肌壁延伸至尖外侧段。三维超声心动图和心脏磁共振证实了这些数据。重要的是,自动化功能成像确定了-10.2%的整体纵向应变。结论:根据我们的多模态成像方法,肥厚性心肌病是最可能的诊断。
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