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European Journal of Echocardiography 2008 9(1):72-73; doi:10.1016/j.euje.2006.12.003
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Myocardial bridge in hypertrophic cardiomyopathy: imaging with color Doppler echocardiography

Mohamad Ali Ostovan* and Amir Aslani

Cardiology Department, Shiraz University of Medical Sciences, Namazee Hospital, Zand Avenue, Shiraz, P.O. Box 71935-1334, Iran

Received 6 December 2006; accepted after revision 15 December 2006; online publish-ahead-of-print 26 February 2007.

* Corresponding author. Tel: + 917 313 1320; fax: +98 711 6279733. E-mail address: dzintern{at}yahoo.com


   Abstract

A 50-year-old man presented with chest pain and recurrent episodes of syncope. Physical examination revealed a loud systolic murmur at the left sternal border with accentuation in erect position. Transthoracic echocardiography demonstrated severe asymmetrical septal hypertrophy and systolic anterior motion of the anterior mitral valve leaflet which were diagnostic for hypertrophic cardiomyopathy. Interestingly, color Doppler examination of the left ventricle showed aliasing of the left anterior descending coronary artery and intra-myocardial coronaries.

Keywords: Hypertrophic cardiomyopathy; Myocardial bridge


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