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- anomalous right coronary artery
- coronary anomaly
- hypertrophic obstructive cardiomyopathy
- mid cavitary obstruction
- interarterial course
- sudden cardiac death
A 50-year-old man with sedentary lifestyle presented with history of New York Heart Association class II exertional dyspnoea for 1 year. The electrocardiogram suggested left ventricular hypertrophy with symmetric deep T inversions in lateral chest leads. Two-dimensional transthoracic echocardiography revealed features of hypertrophic cardiomyopathy with mid-cavitary gradient of 38 mm Hg. The aortic valve and the left ventricular outflow tract were normal and there was no significant mitral regurgitation.
Cardiac MRI showed a mid-cavity diastolic interventricular septal thickness of 24 mm and a …
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