Alcohol Septal Ablation vs. Surgical Myectomy: Patient With Obstructive HCM
Alcohol Septal Ablation vs. Surgical Myectomy: Patient With Obstructive HCM
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.
Summary
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.
Source...