Mid-ventricular hypertrophic obstructive cardiomyopathy (MVHOCM) complicated with coronary artery disease: a case report

Mid-ventricular hypertrophic obstructive cardiomyopathy (MVHOCM) is a rare type of cardiomyopathy that can be accompanied by apical aneurysm. We presented here a case report of MVHOCM with cornary artery disease. The sixty-four years old man was sent to hospital because of ventricular tachycardia. Large inversion T wave was showed on electrocardiography in the presence of abnormal coronary arteries and normal cardiac enzyme. Echocardiography showed an hourglass appearance of the left ventricle with an aneurysm in the apex and a pressure gradient between the outflow tract of left ventricle and the middle of the left ventricle was revealed by left-heart catheterization.