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Initial Imaging Evaluation
Initial imaging evaluation (apical 3-chamber, systole) revealed severe concentric left ventricular hypertrophy with systolic anterior motion of the mitral valve and septal contact at rest (red arrow) (A) and severe resting left ventricular outflow tract obstruction (B). Cardiac magnetic resonance confirmed the presence of left ventricular hypertrophy (C) and demonstrated extensive, predominantly mid-myocardial late gadolinium enhancement (D).
