Role of MRI in Hypertrophic Cardiomyopathy with Midventricular Obstructionand Apical aneurysm: Uncommon high-risk variant

Midventricular obstruction of the left ventricle is an increasingly recognised phenotypic variant of hypertrophic cardiomyopathy (HCM) due to the widespread availability of Cardiac Magnetic Resonance Imaging(CMR). This variant is clinically and prognostically significant with MRI playing a major role in detection. Herein we present a case of HCM with midventricular obstruction where MRI showed apical aneurysm with scarring and midventricular gradient. Incidence, pathophysiology, diagnosis role of CMR and treatment of this variant of HCM is discussed.

Author(s): Divyesh Dadhania1*, Jineesh Valakada1, Anoop Ayyappan1, Ansan Joseph1

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