Introduction: The Hellenic Heart Registry on Percutaneous Coronary Interventions (HHR-PCI) was a prospective, observational registry of patients with stable angina or acute coronary syndromes who underwent percutaneous coronary intervention (PCI) between January 2008 and October 2010.
Methods: HHR-PCI was a database that used a secure web-based interface for data entry by individual users. All PCI centers and operators were invited to participate.
We present the case of a 69-year-old female with a long history of apical hypertrophic cardiomyopathy progressing to midcavitary obstruction and apical aneurysm development. A coronary angiogram showed no stenotic lesions in the epicardial coronary arteries and myocardial perfusion imaging showed no perfusion defects in the left ventricular apex, with the latter being an extremely uncommon finding. This case suggests that apical aneurysm may not be exclusively caused by ischemia and eventually different or coexisting factors are probably involved.
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