[Combinated clinical picture of hypertrophic cardiomyopathy in 53-year-old male].

We present and discuss a case of hypertrophic obstructive cardiomyopathy (HOCM), which until the proper interpretation of echocardiography image had been diagnosed and treated as a combinated mitro-aortic valve disease. Due to years of maltreatment the disease has reached an advanced stage. Available healing procedures, with thoroughly proved efficacy in reducing the sub-valvular pressure gradient, include: implantation of cardio-stimulator, alcohol ablation and surgical treatment. In the presented case the co-existing diseases have made the choice of optimal treatment difficult.