Obstrucción en la vía de salida del ventrículo derecho en la miocardiopatía hipertrófica obstructiva: Informe de un caso y revisión de la literatura

SummaryO BSTRUCTION OF THE RIGHT VENTRICULAR OUTFLOWTRACT ON THE OBSTRUCTIVE HYPERTROPHICCARDIOMYOPATHY . C ASE REPORT AND LITERATURE REVIEW OHC is a disorder with a broad spectrum of mor-phological, functional and genetics abnormali-ties. The Obstruction on the Right VentricularOutflow (OHCRV) is not expected most of thetime, that’s way it is not usually detected andrarely mentioned in the cardiological literature.Its clinical presentation may include basicallysystemic venous hypertension symptoms thatcome with the hypertrophic cardyomiopathymanifestations. The manifestations of an appa-rent Right Ventricular Hypertrophic (RVH) in theECG are probably due to the huge septal vectorthat activates the septum with a major thickness.The clinical confirmation of the obstruction onthe OHCRV produced by a considerable asym-metric septal hypertrophic is easily shown withbidimensional an Doppler echocardiography.(Arch Cardiol Mex 2008; 78: 87-94) Palabras clave: Hipertrofia. Miocardiopatia. Obstruccion del ventriculo derecho.