Fig. 1.

a Echocardiography revealed asymmetrical hypertrophic obstructive cardiomyopathy. b Pulsed wave Doppler suggested a resting sub-valvular obstruction with a pressure gradient of 33 mmHg

a Echocardiography revealed asymmetrical hypertrophic obstructive cardiomyopathy. b Pulsed wave Doppler suggested a resting sub-valvular obstruction with a pressure gradient of 33 mmHg