Background
We present an uncommon case of a patient with hypertrophic obstructive cardiomyopathy and idiopathic pulmonary fibrosis. The case demonstrates the importance of pretransplant cardiology workup and the need of interdisciplinary approach in diagnosing the cause of dyspnea.
Case summary
The 52-year-old male patient was diagnosed with idiopathic pulmonary fibrosis in 2019 and gradually became oxygen dependent due to progression of dyspnea. Bilateral lung transplantation was recommended in 2021. During pretransplant cardiology workup the patient was diagnosed with hypertrophic obstructive cardiomyopathy with left ventricular outflow tract (LVOT) obstruction. Considering the high surgical risk of the patient, alcohol septal ablation was performed with subsequent decrease of LVOT gradient. Bilateral lung transplantation was successfully performed afterwards. The patient’s symptoms improved to NYHA class II at one year follow-up.
Discussion
Centralization is considered one of the most important trends in modern medicine because of increasing the quality of healthcare and lowering its cost. In a tertiary cardiovascular center, we were able to diagnose and treat the patient with favorable outcome combining alcohol septal ablation and bilateral lung transplantation.