Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jun 26, 2015; 7(6): 357-360
Published online Jun 26, 2015. doi: 10.4330/wjc.v7.i6.357
Long term evolution of magnetic resonance imaging characteristics in a case of atypical left lateral wall hypertrophic cardiomyopathy
Tobias Gassenmaier, Bernhard Petritsch, Andreas S Kunz, Spyridon Gkaniatsas, Philipp D Gaudron, Frank Weidemann, Peter Nordbeck, Meinrad Beer
Tobias Gassenmaier, Bernhard Petritsch, Andreas S Kunz, Department of Diagnostic and Interventional Radiology, University Hospital of Würzburg, 97080 Würzburg, Germany
Spyridon Gkaniatsas, Philipp D Gaudron, Frank Weidemann, Peter Nordbeck, Department of Internal Medicine I, University Hospital of Würzburg, 97080 Würzburg, Germany
Frank Weidemann, Peter Nordbeck, Comprehensive Heart Failure Center, University of Würzburg, 97080 Würzburg, Germany
Meinrad Beer, Department of Diagnostic and Interventional Radiology, University of Ulm, 89070 Ulm, Germany
Author contributions: Gassenmaier T, Petritsch B and Kunz AS wrote the paper and researched the literature; Gkaniatsas S, Gaudron PD, Weidemann F and Nordbeck P contributed to patient’s treatment and critical review of the paper; Beer M contributed to imaging and critical review of the paper.
Supported by The German Research Foundation (DFG) and the University of Wuerzburg in the funding programme Open Access Publishing.
Ethics approval: Not applicable as all procedures were performed upon clinical indication.
Informed consent: Informed consent of the patient was obtained where applicable. All details that might disclose the identity of the patient were omitted in this case report.
Conflict-of-interest: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Tobias Gassenmaier, MD, Department of Diagnostic and Interventional Radiology, University Hospital of Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany. gassenmaie_t@ukw.de
Telephone: +49-931-20134200 Fax: +49-931-20134209
Received: November 14, 2014
Peer-review started: November 16, 2014
First decision: February 7, 2015
Revised: February 25, 2015
Accepted: April 1, 2015
Article in press: April 7, 2015
Published online: June 26, 2015
Abstract

We are reporting a long-time magnetic resonance imaging (MRI) follow-up in a rare case of cardiac left lateral wall hypertrophy. Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disorder and a significant cause of sudden cardiac death. Cardiac magnetic resonance (CMR) imaging can be a valuable tool for assessment of detailed information on size, localization, and tissue characteristics of hypertrophied myocardium. However, there is still little knowledge of long-term evolution of HCM as visualized by magnetic resonance imaging. Recently, our group reported a case of left lateral wall HCM as a rare variant of the more common forms, such as septal HCM, or apical HCM. As we now retrieved an old cardiac MRI acquired in this patient more than 20 years ago, we are able to provide the thrilling experience of an ultra-long MRI follow-up presentation in this rare case of left lateral wall hypertrophy. Furthermore, this case outlines the tremendous improvements in imaging quality within the last two decades of CMR imaging.

Keywords: Hypertrophic cardiomyopathy, Atypical, Follow-up, Cardiac magnetic resonance imaging, Left lateral wall

Core tip: Cardiac magnetic resonance imaging (MRI) can be a valuable tool for assessment of detailed information on size, localization, and tissue characteristics in cases of hypertrophic cardiomyopathy. We report the thrilling experience of an ultra-long magnetic resonance imaging follow-up presentation in a rare case of left lateral wall hypertrophy with an initial cardiac MRI of patient acquired more than 20 years ago. This case outlines the tremendous improvements in imaging quality within the last two decades of cardiac MR imaging.