Focal right ventricular apical hypertrophy or apical muscular ventricular septal defect

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Research in Cardiovascular Medicine Pub Date : 2020-07-01 DOI:10.4103/rcm.rcm_35_20
Z. Sani, Taimoor Etemad, M. Behjati, Z. Khajali, R. Alizadehsani, A. Khosravi, S. Nahavandi, S. S. Shariful Islam
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Abstract

A 28-year-old male patient was referred to our imaging center with the differential diagnosis of a right ventricular (RV) apical mass. He was a known case of the ventricular septal defect (VSD) with a history of spontaneous closure at the age of 2 years. His chief complaint was chest pain and palpitation. He was referred with a transthoracic echocardiography report of RV apical hypertrophy with almost apical obliteration or RV apical mass. Cardiovascular magnetic resonance imaging demonstrated few intramyocardial crypts of basal anteroseptal left ventricular (LV) segment. There was no evidence of concomitant LV apical hypertrophy. Indeed, there was a small conical- and tunnel-shaped serpiginous apical-infundibular muscular VSD (3.6 mm RV side's diameter and 7.6 mm LV side's diameter) resulted in a localized and severely hypertrophied RV apical segment and no significant shunt (QP/QS: 1.16). There was no evidence of other cardiac mass.
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局灶性右心室心尖肥厚或心尖肌性室间隔缺损
一名28岁的男性患者被转诊到我们的影像中心,对右心室(RV)心尖肿块进行鉴别诊断。他是一名已知的室间隔缺损(VSD)病例,2岁时有自发闭合史。他的主要症状是胸痛和心悸。他被转诊为右心室心尖肥大伴几乎心尖闭塞或左心室心尖肿块的经胸超声心动图报告。心血管磁共振成像显示基底前间隔左心室(LV)段很少有心肌内隐窝。没有证据表明伴随左心室心尖肥大。事实上,有一个小的圆锥形和隧道状的螺旋状顶端漏斗肌VSD(右心室侧直径3.6 mm,左心室侧直径7.6 mm)导致右心室心尖段局部严重肥大,没有明显分流(QP/QS:1.16)。没有其他心脏肿块的证据。
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来源期刊
Research in Cardiovascular Medicine
Research in Cardiovascular Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
13
审稿时长
17 weeks
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