Septal myectomy complicated by an embolic stroke in a patient with hypertrophic cardiomyopathy: a case report.

ABSTRACT:

Background

Hypertrophic cardiomyopathy is estimated to affect 1 out of every 500 adults in the USA. One of its main complications is left ventricular outflow obstruction, which may require surgical septal myectomy in severe cases. We report a rare complication of postoperative septal akinesis leading to thrombus formation presenting as an acute ischaemic stroke.

Case summary

A 48-year-old woman presented with acute stroke 2 years after surgical septal myectomy for hypertrophic obstructive cardiomyopathy. Diagnostic workup identified an intraventricular thrombus arising in the left ventricular outflow tract (LVOT). After comprehensive evaluation, it was determined that the thrombus development was a complication of the prior septal myectomy causing focal septal akinesis. Trea

SUBMITTER: Butt MU 

PROVIDER: S-EPMC8526918 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature