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1 Cardiology Division, Stanford University School of Medicine, Stanford, California
A patient with primary pulmonary hypertension is presented whose echocardiogram showed the features of idiopathic hypertrophic subaortic stenosis (IHSS), including asymmetric septal hypertrophy and a systolic anterior motion of the anterior mitral leaflet. Although IHSS and pulmonary hypertension usually are not confused clinically, the echocardiographic pattern may be similar in the two conditions. In this situation, asymmetric septal hypertrophy is not pathognomonic of IHSS.
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