|Number 08-02: Apical HCM, fibrosis and sustained VT|
Number 08-02: Apical HCM, fibrosis and sustained VT
Case from: Davies, EJ, Bellenger NG. Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
Clinical history: An 82 yr man admitted with palpitations, presyncope and sustained monomorphic VT. Family history, his brother died age 6 of unknown cause.
Cine CMR: Mid cavity hypertrophy (max LVWT 19mm) with obliteration and an apical aneurysm without thrombus
LGE CMR: Patchy late gadolinium enhancement in the mid LV but full thickness enhancement of the distal thinned aneurysm. (compare the LGE with the cine – look for LGE but also the absence of normal dark myocardium
Scanner: Siemens avanto.
References: References: here(full text)