CASE REPORT |
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Year : 2015 | Volume
: 3
| Issue : 2 | Page : 2 |
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Multimodality imaging in hypertrophic cardiomyopathy associated with anomalous hypertrophied papillary muscles: A case report
Ikram Kammoun, Lemone Houchinne, Sonia Marrakchi, Wael Ben Amara, Zied Ibn Elhaj, Souha Mokrani, Faouzi Added, Salem Kachboura
Department of Cardiology, Ariana Hospital, Tunis, Tunisia
Correspondence Address:
Ikram Kammoun Department of Cardiology, Ariana Hospital, Tunis Tunisia
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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