[Thin-walled apical ventricular aneurysm associated with hypertrophic obstructive cardiomyopathy].
METHODS
A 73-year-old patient presented for routine follow-up examination for pre-diagnosed hypertrophic obstructive cardiomyopathy (HOCM). The patient's history included arterial hypertension and dyspnea on exertion.


METHODS
Echocardiography revealed a large apical aneurysm, which had vastly increased in size over the past six months. Further evaluation by cardiac magnetic resonance (NMR) imaging confirmed the aneurysm and demonstrated a wall thickness of no more than 2 mm.


METHODS
Due to the rapid increase in size in addition to the extremely thin wall diameter the risk of spontaneous rupture was considered high and the patient was referred to surgical therapy. Echocardiographic and NMR-findings were confirmed intraoperatively. The aneurysm was resected and the postoperative progress was uneventful.


CONCLUSIONS
Aneurysms of the apical left ventricle can result from an underlying HOCM. In case of rapid increase of the aneurysm, aneurysmectomy should be performed.
Kappert
K
K
Klinik III für Innere Medizin, Universität Köln, Cologne.
La Rosée
K
K
Karasch
T
T
Kuhn-Regnier
F
F
Schmidt
M
M
Rosenkranz
S
S
D000368:Aged; D017542:Aneurysm, Ruptured / Q000517:prevention & control; D006328:Cardiac Catheterization; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D004452:Echocardiography; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D012307:Risk Factors; D012422:Rupture, Spontaneous / Q000517:prevention & control