Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report

Hypertrophic cardiomyopathy (HCM) with midventricular obstruction (MVO) is a rare condition occurring in 1% of HCM patients. It is characterized by asymmetric left ventricular hypertrophy with MVO and elevated intraventricular pressure gradients. Pulmonary embolism has been associated with mid-ventr...

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Main Authors: Leila Abid, Ahmed Tounsi, Dorra Abid, Mourad Hentati, Samir Kammoun
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/165918
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author Leila Abid
Ahmed Tounsi
Dorra Abid
Mourad Hentati
Samir Kammoun
author_facet Leila Abid
Ahmed Tounsi
Dorra Abid
Mourad Hentati
Samir Kammoun
author_sort Leila Abid
collection DOAJ
description Hypertrophic cardiomyopathy (HCM) with midventricular obstruction (MVO) is a rare condition occurring in 1% of HCM patients. It is characterized by asymmetric left ventricular hypertrophy with MVO and elevated intraventricular pressure gradients. Pulmonary embolism has been associated with mid-ventricular obstructive HCM. Briefly, this case presents an unusual clinical scenario where a young pregnant woman suffering from hypertrophic obstructive cardiomyopathy presents with dyspnea hemodynamic compromise related to pulmonary embolism illustrating hemodynamic challenges created by pregnancy and surgery. We concluded that simple measures such as communication between the cardiology and obstetric teams, understanding of the hemodynamic changes, anesthetic planning, and monitoring were paramount for the success in our patient.
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institution Kabale University
issn 1687-9627
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language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-b57dfcf0512c4542a156ec1e75a31d3e2025-02-03T01:03:34ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/165918165918Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case ReportLeila Abid0Ahmed Tounsi1Dorra Abid2Mourad Hentati3Samir Kammoun4Cardiology Department, Hedi Chaker University Hospital, Sfax 3029, TunisiaCardiology Department, Hedi Chaker University Hospital, Sfax 3029, TunisiaCardiology Department, Hedi Chaker University Hospital, Sfax 3029, TunisiaCardiology Department, Hedi Chaker University Hospital, Sfax 3029, TunisiaCardiology Department, Hedi Chaker University Hospital, Sfax 3029, TunisiaHypertrophic cardiomyopathy (HCM) with midventricular obstruction (MVO) is a rare condition occurring in 1% of HCM patients. It is characterized by asymmetric left ventricular hypertrophy with MVO and elevated intraventricular pressure gradients. Pulmonary embolism has been associated with mid-ventricular obstructive HCM. Briefly, this case presents an unusual clinical scenario where a young pregnant woman suffering from hypertrophic obstructive cardiomyopathy presents with dyspnea hemodynamic compromise related to pulmonary embolism illustrating hemodynamic challenges created by pregnancy and surgery. We concluded that simple measures such as communication between the cardiology and obstetric teams, understanding of the hemodynamic changes, anesthetic planning, and monitoring were paramount for the success in our patient.http://dx.doi.org/10.1155/2012/165918
spellingShingle Leila Abid
Ahmed Tounsi
Dorra Abid
Mourad Hentati
Samir Kammoun
Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
Case Reports in Medicine
title Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
title_full Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
title_fullStr Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
title_full_unstemmed Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
title_short Midventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Pulmonary Embolism: A Case Report
title_sort midventricular obstructive hypertrophic cardiomyopathy during pregnancy complicated by pulmonary embolism a case report
url http://dx.doi.org/10.1155/2012/165918
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