Alcohol Septal Ablation after Suboptimal Surgical Septal Myomectomy
نویسندگان
چکیده
منابع مشابه
Percutaneous Septal Alcohol Ablation after Surgical Myectomy
Hypertrophic obstructive cardiomyopathy (HOCM) is a primary, usually familial and genetically fi xed myocardial hypertrophy, with dynamic left ventricular outfl ow tract obstruction. An alternative to surgical myectomy in the treatment of severe, drug refractory, HOCM is percutaneous transluminal septal myocardial ablation (PTSMA). We report a case of year old female patient who had the fi r...
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Despite septal myectomy remaining the gold standard septal reduction therapy for hypertrophic obstructive cardiomyopathy (HOCM), there has been a disproportionate use of alcohol septal ablation (ASA) worldwide. Absolute resolution of left ventricular outflow tract (LVOT) obstruction with ASA is not achieved in a substantial proportion of patients. The mechanisms of failure from ASA are partiall...
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Hypertrophic cardiomyopathy (HCM) is defined as myocardial hypertrophy in the absence of another cardiac or systemic disease capable of producing the magnitude of present hypertrophy. In about 70% of patients with HCM, there is left ventricular outflow tract (LVOT) obstruction (LVOTO) and this is known as obstructive type of hypertrophic cardiomyopathy (HOCM). Cases refractory to medical treatm...
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Since the original description of hypertrophic cardiomyopathy by Donald Teare1 and Lord Brock2 nearly 50 years ago, management of this condition has attracted the attention of surgeons,3–5 clinical and intervention cardiologists,6–10 epidemiologists, and, more recently, molecular biologists. To date, the emphasis has been directed toward symptomatic patients or those who are at high risk of dyi...
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1617 I n hypertrophic cardiomyopathy (HCM), left ventricular (LV) outflow tract obstruction, caused by mitral valve sys-tolic anterior motion (SAM) with elevated intracavitary LV pressures, can produce disabling symptoms of heart failure and excess cardiovascular mortality. Outflow gradients are common in HCM, present in 70% of patients at rest or with physiological exercise 4 (Figure 1). Fifty...
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ژورنال
عنوان ژورنال: CASE
سال: 2018
ISSN: 2468-6441
DOI: 10.1016/j.case.2018.02.004