Journal of General Practice

Shahryar G Saba

Publications

• Case Report
  Hemodynamic Consequences of Hypertrophic Cardiomyopathy with Midventricular Obstruction: Apical Aneurysm and Thrombus Formation
  Author(s): Shahryar G Saba, Andrew W Ertel, Michael Siegenthaler, Edward Bodurian, Peter Kellman, Marcus Y Chen, Andrew E Arai and W Patricia BandettiniShahryar G Saba, Andrew W Ertel, Michael Siegenthaler, Edward Bodurian, Peter Kellman, Marcus Y Chen, Andrew E Arai and W Patricia Bandettini
  
  Background: Hypertrophic cardiomyopathy (HCM) with midventricular hypertrophy is an uncommon phenotypic variant of the disease. Midventricular hypertrophy predisposes to intracavitary obstruction and downstream hemodynamic sequelae. Case report: We present a case of HCM with midventricular hypertrophy and obstruction diagnosed after a CT scan of the abdomen incidentally revealed a filling defect in the left ventricular apex. Transthoracic echocardiography demonstrated mid left ventricular hypertrophy and obstruction, as well as an aneurysmal apex containing a large thrombus. Cardiovascular MRI showed a spade-shaped left ventricle with midcavitary obliteration, an infarcted apex and regions of myocardial fibrosis. Due to the risk of embolization and a relative contraindication to anticoagulation, the patient underwent surgery including thrombect.. Read More»
  DOI: 10.4172/2329-9126.1000161

  Abstract PDF