Apical aneurism and myocardial bridging in a patient with hypertrophic cardiomyopathy: Association or consequence of the myocardial bridging?

Anthony Foucault; Loic Hilpert; Francois Hédoire; Eric Saloux; Sophie Gomes; Arnaud Pellissier; Patrice Scanu; Laure Champ-Rigot; Paul Milliez

doi:10.5603/CJ.2012.0119

Vol 19, No 6 (2012)

Case Reports

Submitted: 2013-01-24

Published online: 2012-12-06

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Apical aneurism and myocardial bridging in a patient with hypertrophic cardiomyopathy: Association or consequence of the myocardial bridging?

Anthony Foucault, Loic Hilpert, Francois Hédoire, Eric Saloux, Sophie Gomes, Arnaud Pellissier, Patrice Scanu, Laure Champ-Rigot, Paul Milliez

DOI: 10.5603/CJ.2012.0119

Cardiol J 2012;19(6):643-645.

Vol 19, No 6 (2012)

Case Reports

Submitted: 2013-01-24

Published online: 2012-12-06

Abstract

The identification of high-risk patients with hypertrophic cardiomyopathy (HC) for primary prevention of sudden cardiac death (SCD) remains a challenging issue, since major risk factors sometimes lack specificity. We report the case of a patient with HC and association of apical aneurysm and myocardial bridging who had been initially not implanted because she had only one major risk factor. She subsequently experienced a sustained ventricular tachycardia that finally motivated the implantation. We conclude that it is never an easy decision to implant a preventive implantable cardioverter-defibrillator (ICD). Nevertheless, additional criteria for a better selection of patients who would benefit from an ICD implant are certainly useful.