Alcohol septal ablation versus surgical septal myectomy
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...
متن کاملSeptal myectomy after failed septal alcohol ablation.
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...
متن کاملSurgical septal myectomy versus alcohol septal ablation: assessing the status of the controversy in 2014.
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...
متن کاملSurgical Versus Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy
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...
متن کاملComparison of surgical septal myectomy and alcohol septal ablation with cardiac magnetic resonance imaging in patients with hypertrophic obstructive cardiomyopathy.
OBJECTIVES This study sought to describe the acute morphologic differences that result from septal myectomy and alcohol septal ablation using cardiac magnetic resonance (CMR) imaging. BACKGROUND Surgical septal myectomy and alcohol septal ablation relieve left ventricular outflow tract obstruction in severely symptomatic patients with hypertrophic cardiomyopathy (HCM). METHODS Cine and cont...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2004
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2004.09.036