Cardiomiopatia hipertrófica apical associada com fístulas coronárias da artéria circunflexa-ventricular e ponte miocárdica de descendente anterior: relato de caso e revisão da literatura
DOI:
https://doi.org/10.34019/1982-8047.2022.v48.39640Keywords:
Familial Hypertrophic Cardiomyopathy, Vascular Fistula, Myocardial BridgingAbstract
We report the clinical case of a 78-year-old woman with a history of angina on effort and dyspnea (Functional Class II New York Heart Association), whose echocardiographic, angiographic and cardiac resonance diagnosis indicated apical hypertrophic cardiomyopathy, coronary microfistulas of the circumflex-ventricular artery to the left ventricle and myocardial bridging of the anterior descending artery. A beta-blocker has been associated with the therapeutic regimen with partial improvement of symptoms. The patient presented a favorable clinical course, not evolving to heart failure or acute coronary syndrome. This case reports the rare association between apical hypertrophic cardiomyopathy coronary microfistulas and myocardial bridging, factors that can worsen symptoms and confuse diagnoses.
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References
Marian AJ, Braunwald E. Hypertrophic cardiomyopathy: genetics, pathogenesis, clinical manifestations, diagnosis, and therapy. Circulation Research. 2017; 121:749-70
Ommena SR, Mitala S, Burkea MA, Daya SM, Deswalb A, Elliotta P et al. AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy: executive summary. JACC. 2020; 76(25).
Hughes RK, Knott KD, Malcolmson J, Augusto JB, Mohiddin SA, Kellman P et al. Apical hypertrophic cardiomyopathy: the variant less known. J Am Heart Assoc. 2020; 9(5).
Shah, FA; Fujikawa, P; Miller, JB, Harleen Singh. A novel case of yamaguchi syndrome in a hispanic male. Cureus. 2021; 13(9):e17651.
Eriksson MJ, Sonnenberg B, Woo A, Rakowski P, Parker TG, Wigle ED et al. Long‐term outcome in patients with apical hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002; 39:638-45.
Uçar O, Çiçekçioglu H, Çetin M, Ileri M, Aydogdu S. Coronary artery-left ventricular microfistulae associated with apical hypertrophic cardiomyopathy. Cardiol J. 2011; 18(3):307-9.
Çay S, Öztürk S, Cihan G, K›sac›k HL, Korkmaz. Angiographic prevalence of myocardial bridging. Anadolu Kardiyol Derg. 2006; 6:9-12.
Wattal S, Kareem H, Devasia T, Paramasivam G. Coronary artery fistula and mid-cavitary obstructive hypertrophic cardiomyopathy: a rare association. BMJ Case Rep. 2018; bcr-2017-223174.
Zhai SS, Fan CM, An SY, Hang F, Yang YJ, Yan LR, et al. Clinical outcomes of myocardial bridging versus no myocardial bridging in patients with apical hypertrophic cardiomyopathy. Cardiology. 2018; 139(3):161-8.
Albanesi FFM, Girardi JM, Castier MB, Ginefra P. Influência da fibrilação atrial na história natural da cardiomiopatia hipertrófica. Arq Bras Cardiol. 1994; 62(5):337-41.
Liu D, Hu K, Nordbeck P, Ertl G, Störk S, Weidemann F. Longitudinal strain bull’s eye plot patterns in patients with cardiomyopathy and concentric left ventricular hypertrophy. Eur J Med Res. 2016; 21:21.
Dresios C, Apostolakis S, Tzortzis S, Lazaridis K, Gardikiotis A. Apical hypertrophic cardiomyopathy associated with multiple coronary artery–left ventricular fistulae: a report of a case and review of the literature. European Journal of Echocardiography. 2010; 11:E9.
Maron, MS. Clinical utility of cardiovascular magnetic resonance in hypertrophic cardiomyopathy. J Cardiovasc Magn Reson. 2012; 14:13.
Nada F, Fedoua E, Ghita S, Nadia B, Leila H, Jamila Z et al. Coronary fistulas: a case series. Oman Med J. 2014; 29(1):60-3.
Alyan O, Ozeke O, Golbasi Z. Coronary artery-left ventricular fistulae associated with apical hypertrophic cardiomyopathy. Eur J Echocardiogr. 2006; 7:326-9.
Meena, DS, Meena, CB, Parvez, J. Hypertrophic obstructive cardiomyopathy with multiple coronary arteries to right ventricular microfistulas: a case report and review of the literature. J Med Case Reports. 2017; 11:24.
Said SA, van der Werf T. Dutch survey of coronary artery fistulae in adults: congenital solitary fistulas. Int J Cardiol. 2006; 106(3):323-32.
Black IW, Loo CKC, Allan RM. Multiple coronary artery left ventricular fistulae: clinical, angiographic, and pathologic findings. Cathet Cardiovasc Diagn. 1991; 23(2):133-5.
Fritz T, Abdallah W, McNamara R. Multivessel myocardial bridging in a patient with spiral hypertrophic cardiomyopathy. Global Cardiology Science and Practice. 2016; 30.
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Copyright (c) 2023 José Marcos Girardi, José Resende de Castro Junior, Thiago Silva, Thaiz Ruberti Schmal, Leandro Caetano Pimentel
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