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Post infarction apical aneurysm with pressure gradient between aneurysm and normal left ventricular cavity and with normal corollary arteriogram Yasuo Futagami 1 , Takashi Yada 1 , Tokuji Konishi 1 , Takeshi Nakano 1 , Hideo Takezawa 1 1The First Department of Internal Medicine, Fuculty of Medicine, Mie University pp.901-905
Published Date 1987/8/15
DOI https://doi.org/10.11477/mf.1404205112
  • Abstract
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We report a case of post infarction apical aneurysm with pressure gradient (40 mmHg) between aneurysm and normal left ventricular cavity and with normal coronary arteriogram.

A 40-year-old man developed a typical myocardial infarction on Oct. 29, 1983. ECG showed ST elevation in leads II, III and aVF. He was admitted to our hospital for futher evaluation of his heart condition on Nov, 24 1983. Coronary arteriogram showed no significant stenosis in both right and left coronary arteries. Left ventriculogram showed apical aneurysm. Left side cardiac catheterization demonstrated 40mmHg pressure gradient between normal left ventricularcavity and aneurysm. UCG showed no ASH nor SAM.

Septal biopsy showed no specific findings. These findings denied the diagnosis of HOCM in this case.


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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