Abid Leila, Tounsi Ahmed, Abid Dorra, Hentati Mourad, Kammoun Samir
Cardiology Department, Hedi Chaker University Hospital, Sfax 3029, Tunisia.
Case Rep Med. 2012;2012:165918. doi: 10.1155/2012/165918. Epub 2012 Sep 17.
Hypertrophic cardiomyopathy (HCM) with midventricular obstruction (MVO) is a rare condition occurring in 1% of HCM patients. It is characterized by asymmetric left ventricular hypertrophy with MVO and elevated intraventricular pressure gradients. Pulmonary embolism has been associated with mid-ventricular obstructive HCM. Briefly, this case presents an unusual clinical scenario where a young pregnant woman suffering from hypertrophic obstructive cardiomyopathy presents with dyspnea hemodynamic compromise related to pulmonary embolism illustrating hemodynamic challenges created by pregnancy and surgery. We concluded that simple measures such as communication between the cardiology and obstetric teams, understanding of the hemodynamic changes, anesthetic planning, and monitoring were paramount for the success in our patient.
伴有心室中部梗阻（MVO）的肥厚型心肌病（HCM）是一种罕见疾病，在1%的HCM患者中出现。其特征是伴有MVO的不对称左心室肥厚和心室内压力梯度升高。肺栓塞与心室中部梗阻性HCM有关。简而言之，本病例呈现了一种不寻常的临床情况，一名患有肥厚性梗阻性心肌病的年轻孕妇因肺栓塞出现呼吸困难和血流动力学损害，说明了妊娠和手术所带来的血流动力学挑战。我们得出结论，心脏病学和产科团队之间的沟通、对血流动力学变化的了解、麻醉计划和监测等简单措施对我们患者的成功治疗至关重要。
