Arrhythmogenic left ventricular apical aneurysm in hypertrophic cardiomyopathy
2010 (English)In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 151, no 1, e8-e9 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
Amsterdam: Elsevier/North Holland , 2010. Vol. 151, no 1, e8-e9 p.
Arrhythmia, Aneurysm, Hypertrophic cardiomyopathy
Cardiac and Cardiovascular Systems
IdentifiersURN: urn:nbn:se:umu:diva-34738DOI: 10.1016/j.ijcard.2010.02.071PubMedID: 20236715OAI: oai:DiVA.org:umu-34738DiVA: diva2:324408
Available online 16 March 2010.2010-06-152010-06-152011-09-13Bibliographically approved