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Ann Thorac Surg 2011;91:1263-1265. doi:10.1016/j.athoracsur.2010.09.041
© 2011 The Society of Thoracic Surgeons

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Dipesh K. Shah
Hartzell V. Schaff
Bernard J. Gersh
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Case Reports

Ventricular Tachycardia in Hypertrophic Cardiomyopathy With Apical Aneurysm

Dipesh K. Shah, MDa, Hartzell V. Schaff, MDa,*, Martin D. Abel, MDb, Bernard J. Gersh, MB, ChBc

a Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota
b Division of Cardiovascular and Thoracic Anesthesia, Mayo Clinic, Rochester, Minnesota
c Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota

Accepted for publication September 17, 2010.

* Address correspondence to Dr Schaff, Division of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (Email: schaff{at}mayo.edu).

Midventricular hypertrophic cardiomyopathy is a rare form of cardiomyopathy that may be associated with an apical aneurysm. The mechanism of aneurysm formation is uncertain, but it may be related to subendocardial ischemia. In this report, we describe a 57-year-old man with recurrent ventricular arrhythmias that were refractory to medical treatment because of midventricular hypertrophic cardiomyopathy and apical aneurysm. He was treated successfully with apical aneurysmectomy, myectomy, and subendocardial resection. Six months postoperatively, the patient was free of symptoms and was taken off all anti-arrhythmic medications with one inappropriate discharge from the implantable cardioverter-defibrillator at 4 months.







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