CTICasesApical Hypertrophic Cardiomyopathy with Apical Aneurysm
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Imaging findings
Cardiac imaging during diastole reveals normal heart morphology at the base, but towards the apex, there is a massive blob of markedly thick, circumferential myocardium with a hint of trabeculation, forming a large apical aneurysm. The coronary arteries are completely normal.
Key takeaways
This case demonstrates a massive apical aneurysm resulting from apical hypertrophic cardiomyopathy, emphasizing the distinctive imaging findings in contrast to an apical aneurysm caused by myocardial infarction. The presence of normal coronary arteries and marked apical myocardial hypertrophy are key features differentiating this variant of hypertrophic cardiomyopathy.
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