An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy (HCM) is a common inherited cardiovascular disease with prevalence of 0.2% in the population. More than 1000 mutations in more than 10 genes encoding for proteins of the cardiac sarcomere have been identified. Cardiac magnetic resonance imaging (CMR) is used to characteri...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/737052 |
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| author | Danny A. J. P. van de Sande Jan Hoogsteen Luc J. H. J. Theunissen |
| author_facet | Danny A. J. P. van de Sande Jan Hoogsteen Luc J. H. J. Theunissen |
| author_sort | Danny A. J. P. van de Sande |
| collection | DOAJ |
| description | Hypertrophic cardiomyopathy (HCM) is a common inherited cardiovascular disease with prevalence of 0.2% in the population. More than 1000 mutations in more than 10 genes encoding for proteins of the cardiac sarcomere have been identified. Cardiac magnetic resonance imaging (CMR) is used to characterize left ventricular morphology with great precision in patients with HCM and it identifies unique structural abnormalities in patients with HCM. We present a case of a 56-year-old man who had positive family history of HCM who was a carrier of the genetic MYH-7 2770 G > C, exon 23 mutation. Transthoracic echocardiography showed thickening of the interventricular septum (16 mm) and in particular the basal septum. CMR confirmed the diagnosis of HCM in the anteroseptal myocardium with a thickness of 23 mm and also revealed large and deep myocardial crypts in the anterior wall. These myocardial crypts are rarely found in the so-called genotype positive and phenotype positive patients, as in our case. Also the crypts in this case are deeper and wider than those reported in other cases. So in conclusion, this case reveals an uncommon finding of a myocardial crypt at an unusual myocardial site with the unusual morphology in a patient with genotypic and phenotypic expression of hypertrophic cardiomyopathy. |
| format | Article |
| id | doaj-art-545f900fbc8645e38afc334c916e378a |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-545f900fbc8645e38afc334c916e378a2025-02-03T06:08:16ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/737052737052An Unusual Presentation of a Myocardial Crypt in Hypertrophic CardiomyopathyDanny A. J. P. van de Sande0Jan Hoogsteen1Luc J. H. J. Theunissen2Department of Cardiology, Máxima Medical Center, De Run 4600, 5504 DB Veldhoven, The NetherlandsDepartment of Cardiology, Máxima Medical Center, De Run 4600, 5504 DB Veldhoven, The NetherlandsDepartment of Cardiology, Máxima Medical Center, De Run 4600, 5504 DB Veldhoven, The NetherlandsHypertrophic cardiomyopathy (HCM) is a common inherited cardiovascular disease with prevalence of 0.2% in the population. More than 1000 mutations in more than 10 genes encoding for proteins of the cardiac sarcomere have been identified. Cardiac magnetic resonance imaging (CMR) is used to characterize left ventricular morphology with great precision in patients with HCM and it identifies unique structural abnormalities in patients with HCM. We present a case of a 56-year-old man who had positive family history of HCM who was a carrier of the genetic MYH-7 2770 G > C, exon 23 mutation. Transthoracic echocardiography showed thickening of the interventricular septum (16 mm) and in particular the basal septum. CMR confirmed the diagnosis of HCM in the anteroseptal myocardium with a thickness of 23 mm and also revealed large and deep myocardial crypts in the anterior wall. These myocardial crypts are rarely found in the so-called genotype positive and phenotype positive patients, as in our case. Also the crypts in this case are deeper and wider than those reported in other cases. So in conclusion, this case reveals an uncommon finding of a myocardial crypt at an unusual myocardial site with the unusual morphology in a patient with genotypic and phenotypic expression of hypertrophic cardiomyopathy.http://dx.doi.org/10.1155/2014/737052 |
| spellingShingle | Danny A. J. P. van de Sande Jan Hoogsteen Luc J. H. J. Theunissen An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy Case Reports in Cardiology |
| title | An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy |
| title_full | An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy |
| title_fullStr | An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy |
| title_full_unstemmed | An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy |
| title_short | An Unusual Presentation of a Myocardial Crypt in Hypertrophic Cardiomyopathy |
| title_sort | unusual presentation of a myocardial crypt in hypertrophic cardiomyopathy |
| url | http://dx.doi.org/10.1155/2014/737052 |
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