Pseudoidiopathic hypertrophic subaortic stenosis in a patient with cardiac tamponade.

Abstract:

:A 53-year-old woman with a large pericardial effusion and tamponade presented with signs of IHSS including a grade 4/6 apical systolic murmur, severe SAM, early systolic aortic valve closure and a small hypercontractile left ventricle but at most borderline left ventricular hypertrophy. Following pericardiocentesis, the clinical and echocardiographic signs of subvalvular obstruction resolved completely. One year later the patient died of bronchial carcinoma and no evidence of hypertrophic cardiomyopathy was found at autopsy. Pericardial tamponade should be added to the list of possible causes of dynamic subvalvular obstruction in a structurally normal heart.

journal_name

Chest

journal_title

Chest

authors

Pandi AS,Kronik G

doi

10.1378/chest.91.4.631

subject

Has Abstract

pub_date

1987-04-01 00:00:00

pages

631-3

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)43071-5

journal_volume

91

pub_type

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