ISSN 2305-3127 (Print)   
ISSN 2664-3790 (Online)

Technologies of Diagnosis and Treatment

Hypertrophic cardiomyopathy with mid-ventricular obstruction and apical aneurysm 

N.D. Oryshchyn 1, 2, Yu.A. Ivaniv 2, Yu.H. Kyjak 2, S.S.  Pavlyk 1, V.S. Moroz 1, D.I. Besh 1, 2, I.M. Bigun 1

1 Lviv Regional Centre of Cardiology, Ukraine 
2 Danylo Galyckyi Lviv National Medical University, Ukraine

A case report of apical left ventricular aneurysm in patient with hypertrophic cardiomyopathy with mid-ventricular obstruction (diagnosis and surgical treatment) is presented. We revealed apical aneurysm and mid-ventricular obstruction during echocardiography and specified anatomical characteristics of aneurysm during computer tomography. There was no evidence of obstructive coronary artery disease during coronary angiography. Taking into consideration multiple cerebral infarcts, aneurysm resection and left ventricular plastics was performed. Electronic microscopy of myocardium confirmed the diagnosis of hypertrophic cardiomyopathy.

Key words: apical aneurysm, echocardiography, hypertrophic cardiomyopathy, mid-ventricular obstruction.

 

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  • SELECT `m`.`id`,`m`.`title`,`m`.`module`,`m`.`position`,`m`.`content`,`m`.`showtitle`,`m`.`params`,`mm`.`menuid` FROM `l8uf4_modules` AS `m` LEFT JOIN `l8uf4_modules_menu` AS `mm` ON `mm`.`moduleid` = `m`.`id` LEFT JOIN `l8uf4_extensions` AS `e` ON `e`.`element` = `m`.`module` AND `e`.`client_id` = `m`.`client_id` WHERE ( ( (`m`.`published` = 1 AND `e`.`enabled` = 1 AND `m`.`client_id` = :clientId AND `m`.`access` IN (:preparedArray1)) AND (`m`.`publish_up` IS NULL OR `m`.`publish_up` <= :publishUp)) AND (`m`.`publish_down` IS NULL OR `m`.`publish_down` >= :publishDown)) AND (`mm`.`menuid` = :itemId OR `mm`.`menuid` <= 0) AND `m`.`language` IN (:preparedArray2,:preparedArray3) ORDER BY `m`.`position`,`m`.`ordering`738μs2.22KBParams/libraries/src/Cache/Controller/CallbackController.php:51Copy
  • SELECT `c2`.`language`,`c2`.`id` FROM `l8uf4_menu` AS `c` INNER JOIN `l8uf4_associations` AS `a` ON `a`.`id` = `c`.`id` AND `a`.`context` = :context INNER JOIN `l8uf4_associations` AS `a2` ON `a`.`key` = `a2`.`key` INNER JOIN `l8uf4_menu` AS `c2` ON `a2`.`id` = `c2`.`id` WHERE `c`.`id` = :id515μs1.41KBParams/libraries/src/Language/Associations.php:145Copy
  • SELECT SUM(CASE WHEN `a`.`next_execution` <= :now THEN 1 ELSE 0 END) AS due_count,SUM(CASE WHEN `a`.`locked` IS NULL THEN 0 ELSE 1 END) AS locked_count FROM `l8uf4_scheduler_tasks` AS `a` WHERE `a`.`state` = 1203μs1.37KBParams/administrator/components/com_scheduler/src/Model/TasksModel.php:466Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id140μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `c`.`id`,`c`.`asset_id`,`c`.`access`,`c`.`alias`,`c`.`checked_out`,`c`.`checked_out_time`,`c`.`created_time`,`c`.`created_user_id`,`c`.`description`,`c`.`extension`,`c`.`hits`,`c`.`language`,`c`.`level`,`c`.`lft`,`c`.`metadata`,`c`.`metadesc`,`c`.`metakey`,`c`.`modified_time`,`c`.`note`,`c`.`params`,`c`.`parent_id`,`c`.`path`,`c`.`published`,`c`.`rgt`,`c`.`title`,`c`.`modified_user_id`,`c`.`version`, CASE WHEN CHAR_LENGTH(`c`.`alias`) != 0 THEN CONCAT_WS(':', `c`.`id`, `c`.`alias`) ELSE `c`.`id` END as `slug` FROM `l8uf4_categories` AS `s` INNER JOIN `l8uf4_categories` AS `c` ON (`s`.`lft` < `c`.`lft` AND `c`.`lft` < `s`.`rgt` AND `c`.`language` IN (:preparedArray2,:preparedArray3)) OR (`c`.`lft` <= `s`.`lft` AND `s`.`rgt` <= `c`.`rgt`) WHERE (`c`.`extension` = :extension OR `c`.`extension` = 'system') AND `c`.`access` IN (:preparedArray1) AND `c`.`published` = 1 AND `s`.`id` = :id ORDER BY `c`.`lft`854μs3.95KBParams/libraries/src/Categories/Categories.php:375Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id169μs3.81KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT `alias` FROM `l8uf4_content` WHERE `id` = :id150μs1.31KBParams/components/com_content/src/Service/Router.php:168Copy
  • SELECT m.item_id as id, m.item_id, m.description as metadescription, m.description, m.title as metatitle, m.title FROM l8uf4_osmeta_metadata m WHERE m.item_id='159' AND m.item_type='4'186μs816B/administrator/components/com_osmeta/library/Free/Container/AbstractContainer.php:140Copy
  • SELECT `session_id` FROM `l8uf4_session` WHERE `session_id` = ?212μs1KBParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:291Copy
  • UPDATE `l8uf4_session` SET `data` = ? , `time` = ? WHERE `session_id` = ?296μs592BParams/libraries/vendor/joomla/session/src/Handler/DatabaseHandler.php:318Copy