CTICasesApical Hypertrophic Cardiomyopathy with Apical Aneurysm
▶ Watch on YouTube — age-restricted, cannot embed here
[...]. Apical Hypertrophic Cardiomyopathy with Apical Aneurysm. CTICases. Published September 18, 2015. https://str-case-explorer.pages.dev/c/em73z
Imaging findings
Contrast-enhanced CT demonstrates a "spade-shaped" left ventricular cavity, characterized by a normal-appearing base and marked apical myocardial hypertrophy. A large aneurysm with preserved trabeculations is present at the apex of the left ventricle, and coronary CT angiography shows completely normal coronary arteries.
Key takeaways
Apical hypertrophic cardiomyopathy can lead to the development of a large apical aneurysm due to high systolic pressures generated within the ventricular apex from mid-cavity obstruction. It is important to distinguish this from post-infarction aneurysms; the presence of normal coronary arteries and preserved apical trabeculations can help confirm this diagnosis.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Left Ventricular PseudoaneurysmCoronary
- Right Lower Lobe Lung CancerNeoplastic
- Chronic Eosinophilic PneumoniaInflammatory
- Endobronchial Typical CarcinoidNeoplastic
- Fibrotic Organizing PneumoniaILD
- Chronic Type B Aortic Dissection with False Lumen AneurysmAorta & Arteries
- Alveolar Septal AmyloidosisMetabolic
- Carcinoid Heart DiseaseValvular
See all cases from September 18, 2015 →