Mid-ventricular Obstructive Hypertrophic Cardiomyopathy during Pregnancy Complicated by Preeclampsia and Acute Myocardial Infarction: A Case Report

作者：Singla Anand; Lipshultz Steven E^*; Fisher Stacy

来源：Congenital Heart Disease, 2011, 6(3): 257-261.

DOI：10.1111/j.1747-0803.2010.00453.x

• Hypertrophic Cardiomyopathy
• Mid-ventricular Obstruction
• Pregnancy
• Acute Myocardial Infarction

Hypertrophic cardiomyopathy (HCM) with mid-ventricular 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. Myocardial infarction has been associated with mid-ventricular obstructive HCM. Briefly, this case presents an unusual clinical scenario where a young pregnant woman complicated by preeclampsia presents with myocardial injury and hemodynamic compromise related to undiagnosed HCM with MVO illustrating hemodynamic challenges created by pregnancy and surgery.

• 出版日期2011-6