Simultaneous Pressure Recording in Mid-Ventricular Obstructive Hypertrophic Cardiomyopathy

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概要

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• A 70-year-old man was diagnosed with mid-ventricular obstructive hypertrophic cardiomyopathy (MVOHCM) with apical aneurysm and paradoxic jet flow. At cardiac catheterization, pressure study showed that there was a markedly high pressure-gradient of 90 mmHg between the apex and the base in systole. Apical pressure was 350 mmHg after premature ventricular contraction. The apical aneurysm was already dilated and spherical in late systole; the absence of active relaxation was considered to be the cause of the paradoxic jet flow. In this report, we suggest the pathogenesis of left ventricular apical aneurysm and paradoxic jet flow in MVOHCM.

著者

• Kaikita Koichi

  Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kumamoto University

• Sugiyama Seigo

  Department Of Cardiovascular Medicine Graduate School Of Medical Science Kumamoto University

• Ogawa Hisao

  Department Cardiovascular Medicine Kumamoto University:division Of Intensive Care Unit Kumamoto Univ

• Yamamuro Megumi

  Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kumamoto University

• SAKAMOTO Tomohiro

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences Kumamoto University

• Misumi Ikuo

  Internal Medicine, Kumamoto Saisyunsou Hospital, Japan

• Rokutanda Taku

  Internal Medicine, Kumamoto Saisyunsou Hospital, Japan

• Hanaoka Yousuke

  Internal Medicine, Kumamoto Saisyunsou Hospital, Japan

• Akahoshi Ryuichiro

  Internal Medicine, Kumamoto Saisyunsou Hospital, Japan

• Matsumoto Mitsuhiro

  Internal Medicine, Kumamoto Saisyunsou Hospital, Japan

• Sakamoto Tomohiro

  Department of Cardiology, Saiseikai Kumamoto Hospital, Japan

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