# Mid-ventricular hypertrophic cardiomyopathy with apical aneurysm: a multimodality imaging case report

## TL;DR

A rare heart condition with mid-ventricular thickening and an apical aneurysm was diagnosed using multiple imaging techniques in a 41-year-old man.

## Contribution

This case report highlights the diagnostic value of multimodality imaging in a rare form of hypertrophic cardiomyopathy.

## Key findings

- Mid-ventricular hypertrophy and apical aneurysm were confirmed using echocardiography and cardiac MRI.
- The patient was at high risk for cardiac events and received an implantable cardioverter-defibrillator.
- The case emphasizes the importance of advanced imaging in diagnosing complex cardiomyopathies.

## Abstract

Mid-ventricular hypertrophic cardiomyopathy is a rare subgroup within hypertrophic cardiomyopathies that may present with apical aneurysm. This condition is associated with an increased risk of cardiac adverse events, including cardiac arrest, heart failure, thromboembolic events, or sudden cardiac death. We present a case of a 41-year-old man who presented with a history of exertional dyspnea and syncope. Multimodality imaging with echocardiography and cardiac magnetic resonance showed hypertrophy of the mid-ventricular segments with apical aneurysm. An implantable cardioverter-defibrillator was implanted to prevent sudden cardiac death.