منابع مشابه
Septal myectomy: cut, coil, or boil?
Hypertrophic cardiomyopathy (HOCM) is characterized by asymmetric septal hypertrophy with outflow tract obstruction in approximately one-third of patients. However, recent studies suggest that obstruction may be present in up to 70% of patients with enhanced sympathetic activation under exercise conditions. Clinical features are dyspnoea on exertion, angina pectoris, and atrial and ventricular ...
متن کاملSeptal myectomy for hypertrophic obstructive cardiomyopathy: coil, boil and the role of rescue surgery.
Interventional treatment of hypertrophic obstructive cardiomyopathy has considerably developed and primary surgical approach is nowadays considered for a minority of patients with insufficient relief of obstruction following catheter intervention. We present the history of a patient who underwent alcohol ablation and developed a life-threatening ventricular septal defect consecutively to a larg...
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 کاملPercutaneous 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 for obstructive hypertrophic cardiomyopathy.
Septal myectomy effectively relieves left ventricular outflow tract obstruction (LVOTO) and cardiac symptoms in both adults and children with obstructive hypertrophic cardiomyopathy (HCM). Abnormal attachments of the papillary muscles and chordae and other cardiac lesions can be repaired at the same time. Early mortality for isolated septal myectomy in both children and adults is low (0% to 2.5...
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2008
ISSN: 0195-668X,1522-9645
DOI: 10.1093/eurheartj/ehm561