An Unexpected Cause of Asymmetric Left Ventricular Hypertrophy

Case Presentation: An 81-year-old woman was referred to our Cardiomyopathy Clinic for unexplained asymmetric left ventricular hypertrophy. She was asymptomatic, with no family history of cardiac disease nor of sudden cardiac death. The patient's medical history included a hepatitis C virus infection, successfully eradicated with antiviral therapy, and a hysterectomy for multiple uterine leiomyomas at the age of 36. Moreover, she underwent thoracoscopic right upper and right lower wedge resection for multiple pulmonary masses, consistent with metastatic benign leiomyomas, at the age of 63.