Hypertrophic cardiomyopathy with rheumatic mitral stenosis: A rare association of an inherited cardiomyopathy with acquired heart disease

Abstract

Rheumatic mitral stenosis (MS) in association with hypertrophic cardiomyopathy (HCM) is a very rare entity. This combination presents diagnostic and therapeutic challenges. We report clinical, echocardiographic features, and management challenges of one such case of rheumatic MS with HCM who presented to us with acute decompensated heart failure.

Keywords

• asymmetrical septal hypertrophy
• hypertrophic cardiomyopathy
• left ventricular outflow tract obstruction
• rheumatic mitral stenosis
• systolic anterior motion