[Septal ablation in hypertrophic obstructive cardiomyopathy].
نویسندگان
چکیده
Rev Esp Cardiol 2003;56(12):1231 1231 A 62-year-old patient had symptomatic hypertrophic obstructive cardiomyopathy diagnosed six years ago. Despite medical treatment, dyspnea progressed during follow-up and a two-chamber pacemaker had been implanted one year previously. The reason for the current hospitalization was worsening symptoms (functional class III). The dynamic left ventricular outflow tract gradient was 120 mm Hg by Doppler. Single photon emission computerized tomography (SPECT) myocardial perfusion images showed no perfusion defects (Figure 1A). The patient’s symptoms were refractory to treatment, and percutaneous alcohol septal ablation was recommended. Alcohol injection into a dominant third septal artery branch resulted in septal myocardial infarction. There were no complications and the intraventricular dynamic gradient decreased to 20 mm Hg. Cardiac scintigraphy with 99mTcIM AG E S I N C A R D I O L O G Y
منابع مشابه
Role of percutaneous septal ablation in hypertrophic obstructive cardiomyopathy.
Role of Percutaneous Septal Ablation in Hypertrophic Obstructive Cardiomyopathy Print ISSN: 0009-7322. Online ISSN: 1524-4539 Copyright © 2004 American Heart Association, Inc. All rights reserved. is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Circulation doi: 10.1161/01.CIR.0000114144.40315.C
متن کاملLetter by ElBardissi regarding article, "Outcome of alcohol septal ablation for obstructive hypertrophic cardiomyopathy".
BACKGROUND The clinical efficacy of alcohol septal ablation for drug-refractory hypertrophic cardiomyopathy remains unclear. This study examines the outcome of alcohol septal ablation performed at a tertiary hypertrophic cardiomyopathy referral center. METHODS AND RESULTS Among 601 patients with severely symptomatic obstructive hypertrophic cardiomyopathy referred for alcohol septal ablation ...
متن کاملDetection of myocardial infarction by delayed contrast-enhanced multislice computed tomography.
1. Sigwart U. Non-surgical myocardial reduction for hypertrophic obstructive cardiomyopathy. Lancet 1995;346:211–214. 2. Lakkis N, Nagueh SF, Kleiman NS, Killip D, He ZX, Verani MS, Roberts R, Spencer WH III. Echocardiography-guided ethanol septal ablation for hypertrophic obstructive cardiomyopathy. Circulation 1998;98: 1750–1755. 3. Knight C. Alcohol septal ablation for obstructive hypertroph...
متن کاملManagement of Hypertrophic Obstructive Cardiomyopathy with a Focus on Alcohol Septal Ablation
متن کامل
Is septal ablation preferable to surgical myomectomy for obstructive hypertrophic cardiomyopathy? Surgical Myectomy Remains the Primary Treatment Option for Severely Symptomatic Patients With Obstructive Hypertrophic Cardiomyopathy
The evolving alcohol septal ablation versus surgical myectomy controversy represents a crossroad in the management of obstructive hypertrophic cardiomyopathy (HCM). Indeed, in this now polarized debate within the cardiovascular community, between the traditional and established (ie, surgery) and the new and percutaneous (ie, ablation), much is at stake for the HCM patient population. Furthermor...
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ورودعنوان ژورنال:
- Revista espanola de cardiologia
دوره 56 12 شماره
صفحات -
تاریخ انتشار 2003