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
Chestjournal_title
Chestauthors
Pandi AS,Kronik Gdoi
10.1378/chest.91.4.631subject
Has Abstractpub_date
1987-04-01 00:00:00pages
631-3issue
4eissn
0012-3692issn
1931-3543pii
S0012-3692(15)43071-5journal_volume
91pub_type
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