Alcohol septal ablation versus surgical myectomy: A patient with obstructive HCM

Giovanni La Canna, Flavio Airoldi, Elvia Capritti, Antonio Grimaldi, Antonio Colombo, Ottavio Alfieri

Research output: Contribution to journalArticlepeer-review

Abstract

Background: A 42-year-old woman with a 20-year history of obstructive hypertrophic cardiomyopathy was referred for alcohol septal ablation following a worsening of symptoms, which had persisted despite medical treatment. Investigations: Physical examination, electrocardiography, rest-exercise Doppler and two-dimensional echocardiography, coronary angiography, intracoronary myocardial contrast echocardiography, and intraoperative transesophageal and epicardial echocardiography. Diagnosis: Symptomatic obstructive hypertrophic cardiomyopathy. Management: The patient was deemed unsuitable for alcohol septal ablation and underwent surgical myectomy guided by intraoperative echocardiography.

Original languageEnglish
Pages (from-to)570-576
Number of pages7
JournalNature Clinical Practice Cardiovascular Medicine
Volume4
Issue number10
DOIs
Publication statusPublished - Oct 2007

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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