Longevity in a Patient With Hypertrophic Cardiomyopathy, Anomalous Coronary Artery, and Gastrointestinal Bleeding

We report an unusual case of an elderly woman who presented to the hospital with melena of five-day duration. She has a past medical history of hypertrophic cardiomyopathy diagnosed three years before presentation. She was found to have arteriovenous malformations in the stomach and the duodenum, ca...

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Published inCurēus (Palo Alto, CA) Vol. 12; no. 8; p. e9677
Main Authors Myadam, Rahul, Grodzinsky, Anna, Thompson, Randall
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 11.08.2020
Cureus
Subjects
Anatomy
Asymptomatic
Beta blockers
Cardiac/Thoracic/Vascular Surgery
Cardiology
Cardiomyopathy
Cardiovascular disease
Case reports
Coronary vessels
Family medical history
Heart surgery
Hemoglobin
Medical imaging
Pain
Patients
Risk factors
Ultrasonic imaging
United States > US
Kansas City Missouri
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Summary:We report an unusual case of an elderly woman who presented to the hospital with melena of five-day duration. She has a past medical history of hypertrophic cardiomyopathy diagnosed three years before presentation. She was found to have arteriovenous malformations in the stomach and the duodenum, causing gastrointestinal bleeding. An association between hypertrophic cardiomyopathy and arteriovenous malformations in the gastrointestinal tract was felt likely. The patient was treated with beta-blocker therapy. Later, she was incidentally found to have an anomalous right coronary artery. We discussed potential medical and surgical options, and the patient chose to be treated medically. She was successfully treated with beta-blocker therapy with no further gastrointestinal bleeding. Her clinical course was uncomplicated without cardiac arrhythmia, heart failure, or sudden cardiac death.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Report-1
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.9677