https://doi.org/10.4081/monaldi.2021.2106
An unusual case of severe left ventricle outflow tract obstruction due to a coexistence of Takotsubo cardiomyopathy with septal hypertrophic cardiomyopathy
Submitted: September 27, 2021
Accepted: December 8, 2021
Published: December 30, 2021
Accepted: December 8, 2021
Abstract Views: 797
PDF: 264
Video 1: 143
Video 2: 181
Video 1: 143
Video 2: 181
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Hypertrophic cardiomyopathy (HCM) is a genetic disorder presenting with a pathological increase of left ventricle (LV) wall thicknesses. The most frequent morphological form is characterized by an abnormal LV basal septal hypertrophy. Tako-Tsubo cardiomyopathy (TTC) is a transient left ventricular systolic dysfunction induced by high physical or emotional stress. Its occurrence with HCM is unusual. However, this presentation occurs more often with the classic asymmetrical septal hypertrophy compared with the apical variant. This case demonstrates that the coexistence of TTC with septal HCM in an elderly patient may lead to a severe hemodinamic instability picture.
Kelshiker MA, Mayet J, Unsworth B, Okonko DO. Basal septal hypertrophy. Curr Cardiol Rev 2013;9:325–30.
Armstrong WF, Ryan T, Feigenbaum H. Feigenbaum's Echocardiography. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010.
Lee JW, Kim JY. Stress-induced cardiomyopathy: The role of echocardiography. J Cardiovasc Ultrasound 2011;19:7–12.
Turer AT, Samad Z, Valente AM, et al. Anatomic and clinical correlates of septal morphology in hypertrophic cardiomyopathy. Eur J Echocardiogr 2011;12:131–9.
Aboulhosn J, Child JS. Left ventricular outflow obstruction: subaortic stenosis, bicuspid aortic valve, supravalvar aortic stenosis, and coarctation of the aorta. Circulation 2006;114:2412-22.
Nef HM, Möllmann H, Akashi YJ, Hamm CW. Mechanisms of stress (Takotsubo) cardiomyopathy. Nat Rev Cardiol 2010;7:187-93.
De Backer O, Debonnaire P, Gevaert S. et al. Prevalence, associated factors and management implications of left ventricular outflow tract obstruction in takotsubo cardiomyopathy: a two-year, two-center experience. BMC Cardiovasc Disord 2014;14:147.
Afonso L, Bachour K, Awad K, Sandidge G. Takotsubo cardiomyopathy: Pathogenetic insights and myocardial perfusion kinetics using myocardial contrast echocardiography. Eur J Echocardiogr 2008;9:849-54.
El Mahmoud R, Mansencal N, Pilliére R, et al. Prevalence and characteristics of left ventricular outflow tract obstruction in Tako-Tsubo syndrome. Am Heart J 2008;156:543-8.
How to Cite
Parato, Vito Maurizio, Germana Gizzi, Simone D’Agostino, Simona Pelliccioni, and Michele Scarano. 2021. “An Unusual Case of Severe Left Ventricle Outflow Tract Obstruction Due to a Coexistence of Takotsubo Cardiomyopathy With Septal Hypertrophic Cardiomyopathy”. Monaldi Archives for Chest Disease 92 (3). https://doi.org/10.4081/monaldi.2021.2106.
Copyright (c) 2021 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Simone Pasquale Crispino, Andrea Segreti, Ylenia La Porta, Paola Liporace, Myriam Carpenito, Valeria Cammalleri, Francesco Grigioni, A sudden right-to-left shunt: the importance of evaluating patent foramen ovale during exercise , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Nicole Bertin, Aniello Pappalardo, Alessandro Minati, Gabriella Forti, Serena Favretto, Franco Pertoldi, Eleonora Ficarra, Francesco Pelizzo, Olga Vriz, Giant left atrium in undersized mitral ring annuloplasty , Monaldi Archives for Chest Disease: Vol. 86 No. 1-2 (2016): Cardiac series
- Gian Francesco Mureddu, Stefano Nistri, Anna Maria Gori, Pompilio Faggiano, Biagio Fimiani, Antonio Maggi, Gianfranco Misuraca, Massimo Uguccioni, Luigi Tavazzi, Giovanni Battista Zito, Awareness and appropriateness of the management of preclinical heart failure in outpatient clinics in Italy: Insights from the VASTISSIMO study - EValuation of the AppropriateneSs of The preclInical phase (Stage A and Stage B) of Heart FaIlure Management in Outpatient Clinics in Italy , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Elisabetta Zampogna, Nicolino Ambrosino, Federico Mattia Oliva, Giovanni Sotgiu, Laura Saderi, Gioele Cremonese, Giorgio Bellelli, Antonio Spanevello, Fabio Angeli, Dina Visca, Heart rate recovery in adult individuals with asthma , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Francesco Antonini-Canterin, Concetta Di Nora, Arrhythmogenic right ventricular cardiomyopathy or athlete's heart? Challenges in assessment of right heart morphology and function , Monaldi Archives for Chest Disease: Vol. 89 No. 1 (2019)
- Elena Costanza dal Piaz, Giovanni Cioffi, Federica Ognibeni, Andrea Dalbeni, Alessandro Giollo, Giovanni Orsolini, Davide Gatti, Luca Idolazzi, Carlo Stefenelli, Maurizio Rossini, Ombretta Viapiana, Incidence and predictors of new onset left ventricular diastolic dysfunction in asymptomatic patients with rheumatoid arthritis without overt cardiac disease , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Sara Salim Ali, Imran Ahmed Qureshi, Ahmed Ayaz, Ainan Arshad, Awais Farhad, Bushra Jamil, Muhammad Rizwan Sohail, Etiology, clinical characteristics, and outcome of infective endocarditis: 10-year experience from a tertiary care center in Pakistan , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Emanuele Stirpe, Floriana Bardaro, Alpha1-antitrypsin deficiency and asthma , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Fabiola B. Sozzi, Laura Iacuzio, Marta Belmonte, Marco Schiavone, Francesca Bursi, Elisa Gherbesi, Frank Levy, Ciro Canetta, Stefano Carugo, Early diagnosis of cardiomyopathies by cardiac magnetic resonance. Overview of the main criteria , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Manoj Kumar, Rajesh Kumar Gupta, Raj Kumar, Sonam Spalgais, Anil Kumar Mavi, Kamal Singh, Cockroach exposure and its allergy sensitization in asthma patients , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
You may also start an advanced similarity search for this article.
