Successful Percutaneous Septal Alcohol Ablation After Surgical Myectomy

Abstract

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 rst septal myectomy but because of progression of her disease, the percutaneous treatment of hypertrophic obstructive cardiomyopathy was performed. A year after the PTSMA the patient was without of symptoms.KEY WORDS: Hypertrophic obstructive cardiomyopathy, percutaneous transluminal septal myocardial ablation

Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy: A case Report

“…While others may present with a typical chest pain,dyspnoea, syncope, vertigo, heart failure, uncomfortable awareness of the heart beat, fatigue and sudden cardiac death. 4 Our patient complained of shortness of breath during exercise (NYHA class III), fatigue and presyncope despite of medical therapy.…”