Abstract
A 30-year-old female patient was referred to our centre due to an abnormal electrocardiography
showing left ventricular hypertrophy. The physical examination was normal, and the
patient was asymptomatic. Echocardiography was performed, revealing an atypical pattern
of left ventricular hypertrophy with heterogeneous echogenicity of the left ventricular
walls. A cardiac magnetic resonance examination revealed marked thickening of the
interventricular septum and left and right ventricular walls. The signal intensity
of the thickened ventricular walls was increased and was similar to that of subcutaneous
fat. Follow-up echocardiography and cardiac magnetic resonance showed no progression
of left ventricular hypertrophy.
Résumé
Une patiente de 30 ans a été dirigée vers notre centre en raison d'un électrocardiogramme
anormal montrant une hypertrophie du ventricule gauche. L'examen physique était normal,
et la patiente était asymptomatique. Une échocardiographie a été effectuée, révélant
une forme atypique d'hypertrophie ventriculaire gauche avec une échogénicité hétérogène
des parois ventriculaires gauches. Un examen par résonance magnétique cardiaque a
révélé un épaississement marqué du septum interventriculaire et des parois ventriculaires
gauche et droite. L'intensité du signal des parois ventriculaires épaissies était
augmentée et était similaire à celle du tissu adipeux sous-cutané. L'échocardiographie
de suivi et la résonance magnétique cardiaque n'ont montré aucune progression de l'hypertrophie
ventriculaire gauche.
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References
- Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria.Circulation. 2010; 121: 1533-1541
- 2019 HRS expert consensus statement on evaluation, risk stratification, and management of arrhythmogenic cardiomyopathy.Heart Rhythm. 2019; 16: e301-e372
- Are you calling me fat? An extreme case of cardiac lipomatosis masquerading as hypertrophic cardiomyopathy.Circ Cardiovasc Imaging. 2014; 7: 563-565
- Prominent epicardial fat mimicking pericardial effusion on echocardiography.Eur Heart J Case Rep. 2018; 2: yty034
- A case series of epicardial lipomatosis masquerading as extracardiac pathology on echocardiography: role of multimodality imaging in clarifying misdiagnosis.CASE (Phila). 2020; 4: 389-392
Article info
Publication history
Published online: November 26, 2020
Accepted:
November 22,
2020
Received:
August 28,
2020
Footnotes
See page 1863 for disclosure information.
Identification
Copyright
© 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
