Arrhythmogenic left ventricular apical aneurysm in hypertrophic cardiomyopathy.
A 70-year old lady with prior myectomy for hypertrophic obstructive cardiomyopathy presented with sustained ventricular tachycardia. She was found to have a large left ventricular (LV) apical aneurysm. Surgical intervention was not advised, due to the risk of creating a small LV cavity after surgery and ICD was not advised based on the risk of injuring a very thin walled aneurysm. The patient's arrhythmia settled on medical therapy, but unfortunately she suffered an unwitnessed death three months later. This case represents a rare complication to a rare disease with limited management options. In such patients evidence based medicine is of little help, if any.
Stellan
S
Mörner
Bengt
B
Johansson
Michael
M
Henein
D000368:Aged; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D017180:Tachycardia, Ventricular / Q000209:etiology*; D014463:Ultrasonography