Hypertrophic Obstructive Cardiomyopathy

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


This 59 year-old woman had echocardiographic signs of HOCM, but for three times her echo interpreted as mild aortic valve stenosis.


HOCM Systolic murmur LVOT obstruction 

Supplementary material

Movie 35.1

Parasternal long axis TTE shows SAM (AVI 21329 kb)


  1. 1.
    Rowin EJ, Maron BJ, Lesser JR, Rastegar H, Maron MS. Papillary muscle insertion directly into the anterior mitral leaflet in hypertrophic cardiomyopathy, its identification and cause of outflow obstruction by cardiac magnetic resonance imaging, and its surgical management. Am J Cardiol. 2013;111(11):1677–9.CrossRefGoogle Scholar
  2. 2.
    Yang HS, Lee KS, Chaliki HP, Tazelaar HD, Lusk JL, Chandrasekaran K, et al. Anomalous insertion of the papillary muscle causing left ventricular outflow obstruction: visualization by real-time three-dimensional echocardiography. Eur J Echocardiogr. 2008;9(6):855–60.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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