HYPERTROPHIC CARDIOMYOPATHY AND MYOCARDIAL CRYPT OF THE LEFT VENTRICLE
https://doi.org/10.15829/1560-4071-2017-2-100-102
Abstract
First time, myocardial clefty were described more than 20 years ago in autopsy of patients with hypertrophic cardiomyopathy (HCMP): the “fissure” along muscle fibers in interventricular septum. Currently, the precise diagnostical and practical value of this pathology unknown. What sort of diagnostic and practical impact such information brings into the management evaluation of patients? Previously, we reported on unexpected finding of myocardial fissure together with Barlow syndrome. This article continues analysis of the experience of clinical work and includes reports on 2 patients with diffuse-generalized form of HCMP and intramyocardial crypt.
About the Authors
Yu. V. Frolova
V. B. Petrovskiy Russian National Research Centre of Surgery, Moscow
Russian Federation
Russian Federation
O. V. Dymova
V. B. Petrovskiy Russian National Research Centre of Surgery, Moscow
Russian Federation
Russian Federation
E. V. Zaklyazminskaya
V. B. Petrovskiy Russian National Research Centre of Surgery, Moscow
Russian Federation
Russian Federation
M. E. Polyak
V. B. Petrovskiy Russian National Research Centre of Surgery, Moscow
Russian Federation
Russian Federation
E. A. Mershina
Treatment-Rehabilitation Canter of the Ministry of Health, Moscow
Russian Federation
Russian Federation
V. E. Sinitsin
Treatment-Rehabilitation Canter of the Ministry of Health, Moscow
Russian Federation
Russian Federation
S. L. Dzemeshkevich
V. B. Petrovskiy Russian National Research Centre of Surgery, Moscow
Russian Federation
Russian Federation
References
1. Kuribayashi T, Roberts WC. Myocardial disarray at junction of ventricular septum and left and right ventricular free walls in hypertrophic cardiomyopathy. Am J Cardiol. 1992; 70: 1333-40.
2. Deikina DG, Mershina EA, Sinitsyn VE. The prevalence and significance of crypts (cleft) of the myocardium revealed by MSCT-coronary angiography. Diagnostic radiology and radiotherapy. 2013; 2(4): 52-3. Russian (Д.Г. Дейкина, Е.А. Мершина, В.Е. Синицын. Распространенность и значение расщелин (клефт) миокарда, выявленных при МСКТ-коронарографии. Лучевая диагностика и терапия, 2013; 2(4): 52-3).
3. Petryka J, Baksi A, Prasad S, et al. Prevalence of Inferobasal Myocardial Crypts Among Patients Referred for Cardiovascular Magnetic Resonance. Circ Cardiovasc Imaging; March 2014; 259-64.
4. Dzemeshkevich SL, Sinitsyn VE, Frolova YV, et al. The myocardial crypt of the left ventricle in combination with the Barlow syndrome. Kardiologiia. 2016; 11: 101-3. Russian (Дземешкевич С.Л., Синицин В.Е., Фролова Ю.В., и др. Миокардиальная крипта левого желудочка в сочетании с синдромом Барлоу. Кардиология, 2016; 11: 101-3).
5. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy. European Heart Journal. doi:10.1093/eurheartj/ehu284.
6. Child N, Muhr T, Sammut E, et al. Prevalence of myocardial crypts in a large retrospective cohort study by cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2014; 16(1): 66.
7. Semsarian C, Ingles J, Maron MS, et al. New perspectives on the prevalence of Hypertrophic cardiomyopathy. J Am Coll Cardiol. 2015; 65: 1249-54.
8. Dzemeshkevich SL, Zaklyazminskaya EV, Frolova YV. Syndrome of left ventricular hypertrophy. Russ J Cardiol 2014; 9: 6-10. Russian (Дземешкевич С. Л., Заклязьминская Е.В., Фролова Ю.В. Синдром левожелудочковой гипертрофии. Российский кардиологический журнал. 2014; 9: 6-10).
9. Maron MS, Rowin EJ, Lin D, et al. Prevalence and clinical profile of myocardial crypts in hypertrophic cardiomyopathy. Circ Cardiovasc Imaging. 2012; 5(4): 441-7.
Review
For citations:
Frolova Yu.V., Dymova O.V., Zaklyazminskaya E.V., Polyak M.E., Mershina E.A., Sinitsin V.E., Dzemeshkevich S.L. HYPERTROPHIC CARDIOMYOPATHY AND MYOCARDIAL CRYPT OF THE LEFT VENTRICLE. Russian Journal of Cardiology. 2017;(2):100-102. (In Russ.) https://doi.org/10.15829/1560-4071-2017-2-100-102
Views:
2107
Email this article 