case_images: PMC8728803_01
case_images: transthoracic echocardiography; A) apical hypertrophic cardiomyopathy with a wall thickness up to 21mm; B, C) left ventricular obstruction; D) altered apical strain
case_images: PAMJ-40-182-g001.jpg
case_images: PMC8728803_01_PAMJ-40-182-g001.jpg
case_images: F1
case_images: Further, echocardiography (Figure 1) revealed normal systolic function with left ventricular ejection fraction (LVEF) as 65%, apical hypertrophic cardiomyopathy the wall thickness was up to 21mm with left ventricular obstruction, he underwent a coronarography, it revealed a double stenosis in the proximal and middle left anterior descending artery, and sever stenosis in the distal circumflex artery, he was taken for successful percutaneous coronary intervention (PCI) through femoral route (Figure 2).
case_images: coronarography; A, B) double stenosis in the proximal and middle left anterior descending artery, severe stenosis in the distal circumflex artery; C, D) successful percutaneous coronary intervention interesting left anterior descending artery and circumflex artery
case_images: PAMJ-40-182-g002.jpg
case_images: PMC8728803_01_PAMJ-40-182-g002.jpg
case_images: F2
case_images: Further, echocardiography (Figure 1) revealed normal systolic function with left ventricular ejection fraction (LVEF) as 65%, apical hypertrophic cardiomyopathy the wall thickness was up to 21mm with left ventricular obstruction, he underwent a coronarography, it revealed a double stenosis in the proximal and middle left anterior descending artery, and sever stenosis in the distal circumflex artery, he was taken for successful percutaneous coronary intervention (PCI) through femoral route (Figure 2).
case_images: cardiac MRI demonstrating focal apical left ventricular hypertrophy (star), confirming the diagnosis of apical hypertrophic cardiomyopathy
case_images: PAMJ-40-182-g003.jpg
case_images: PMC8728803_01_PAMJ-40-182-g003.jpg
case_images: F3
case_images: Cardiac magnetic resonance imaging (CMR) was performed, it detected apical LV hypertrophy up to 17mm in the apical anterior wall, 12mm in the apical inferior wall, 18mm in the apical septal and lateral walls, with fibrosis in the apex and apical segment of the LV (Figure 3).