title: Myocardial ischemia with left ventricular outflow obstruction.
abstract: We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could be either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Göttingen, Germany. Popov@med.uni-goettingen.de
authors.forename: Aron F
authors.initials: AF
authors.lastname: Popov
authors.forename: Christian
authors.initials: C
authors.lastname: Bireta
authors.forename: Jan D
authors.initials: JD
authors.lastname: Schmitto
authors.forename: Dieter
authors.initials: D
authors.lastname: Zenker
authors.forename: Martin
authors.initials: M
authors.lastname: Friedrich
authors.forename: Kasim O
authors.initials: KO
authors.lastname: Coskun
authors.forename: Ralf
authors.initials: R
authors.lastname: Seipelt
authors.forename: Gerd G
authors.initials: GG
authors.lastname: Hanekop
authors.forename: Friedrich A
authors.initials: FA
authors.lastname: Schoendube
mesh_terms: D000328:Adult; D001020:Aortic Stenosis, Subvalvular / Q000150:complications*; D002312:Cardiomyopathy, Hypertrophic / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery