Table 1.
Case report | Sato (Cui et al., 2016) | Efthimiadis et al. (Sato et al., 2007) | Pérez‐Riera et al. (Efthimiadis et al., 2009) | Dilaveris et al. (Pérez‐Riera et al., 2016) | Gao et al. (Yan et al., 2015) | Petrou et al. (Liu et al., 2017) | Shimahara et al. (Petrou et al., 2014) | Shah et al. (Shimahara et al., 2015) |
---|---|---|---|---|---|---|---|---|
Age(year)/sex | 58/M | 63/F | 53/M | 80/F | 54/M | 69/F | 44/M | 57/M |
PG (mm Hg) | 64 | ‐ | 91 | ‐ | 60 | 120 | ‐ | ‐ |
Arrhythmia | VF、NSVT | NSVT | SMVT | SMVT | SMVT | SMVT | VT | VT |
Origin of VT | ‐ | ‐ | LV apical | LV | LV | LV | LVAA border | apical scar |
ST‐T abnormality |
Negative ST elevation |
Negative T |
negative T ST elevation |
Negative | Negative | ‐ | ||
Apical aneurysm | + | + | 4.4 cm | + | + | + | + | + |
Mural thrombus | + | ‐ | ‐ | ‐ | + | ‐ | ‐ | ‐ |
CAG/CTA | Normal | ‐ | Normal | Normal | Normal | ‐ | Normal | |
Left ventriculogram | None | None | + | + | + | + | None | None |
CMR | + | + | None | None | + | None | None | None |
Therapy | declined | ICD | ICD | ICD | Surgerya | ICD | Surgeryb | ICD/Surgeryb |
Treatments | β‐blocker | ‐ | β‐blocker | None | Metoprolol amiodarone | ‐ | β‐blocker amiodarone | None |
Follow‐up | 6 months | 2 years | ‐ | ‐ | 18 months | ‐ | 2 years | 6 months |
Prognosis | ECG abnormalities persisted | died due to heart failure | ‐ | ‐ | clinically stable and free from arrhythmic recurrence | ‐ | No cardiac events |
one (inappropriate) discharge from the ICD |
CAG: coronary artery angiography; CTA: computed tomographic angiography; ICD: implantable cardioverter defibrillator; LV: left ventricular; negative: T‐wave inversions in precordial leads; NSVT: non‐sustained ventricular tachycardia; PG: pressure gradient; SMVT: sustained monomorphic ventricular tachycardia.
Myectomy of the inappropriate hypertrophy myocardium and removal of ventricular thrombus and excision of the apical aneurysm.
Apical aneurysmectomy, left ventricular reconstruction, and cryoablation at the rim of the aneurysm were performed; Left ventriculogram, showed mid‐ventricular obstruction with a similar appearance of an hourglass shape and an apical aneurysm; CMR, cardiac magnetic resonance.