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Obstructive cardiomyopathy: What therapeutic procedures ?

64-year-old female patient

Class II NYHA dyspnea

Electrocardiogram: Sokolow index = 42

chest x-ray: without abnormality

Coronarography: no coronary stenosis

Illustration : Fig1,2 ; movie 1 (attached)

A transthoracic ultrasound showed LV asymmetric hypertrophy, the septum was measuring 21 mm, an average LV-Ao gradient at 100 mm Hg, an accessory pillar emerging from the septum blocking left ventricular outflow and whose chordae  are inserted on the large mitral valve, no aortic insufficiency or pulmonary arterial hypertension.

Les Réponses

What is your diagnosis ?

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