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CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 2

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


Department of Cardiology, Ariana Hospital, Tunis, Tunisia

Correspondence Address:
Ikram Kammoun
Department of Cardiology, Ariana Hospital, Tunis
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.5812/acvi.22268

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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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