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Ostium Primum Atrial Septal Defect Associated with Obstructive Hypertrophic Cardiomyopathy
Author(s) -
TANGCO ROGELIO V.,
MISSRI JOSE C.,
CHAWLA SURENDRA K.
Publication year - 1991
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1991.tb01203.x
Subject(s) - medicine , cardiology , hypertrophic cardiomyopathy , cardiac catheterization , cardiomyopathy , angiocardiography , heart failure
A 48‐year‐old white male was referred for cardiac catheterization following a bout of near syncope and severe angina. He was diagnosed to have obstructive hypertrophic cardiomyopathy by transthoracic echocardiography (TTE). Right bundle branch block and plethoric chest X ray suggested shunt physiology, which was confirmed on transesophageal echocardiography and angiocardiography to be a primum type of atrial septal defect (primum ASD) with cleft mitral leaflet. He underwent septal myomectomy and patching of the ASD. Surgical pathological specimen revealed enlarged nuclei and myocardial disarray consistent with congenital hypertrophic cardiomyopathy. (ECHOCARDIOGRAPHY, Volume 8, May 1991)