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In this report, we describe a case of an 18-year-old woman with massive septal hypertrophic cardiomyopathy (HCM) without left ventricular outflow tract (LVOT) obstruction that was discovered after resuscitation from a witnessed cardiac arrest. HCM is the most common genetic cardiomyopathy, with an incidence of 0.2%. It is associated with a 1% annual rate of sudden cardiac death (SCD). Septal myectomy, typically reserved for treatment of LVOT, has not previously been described in the literature as a means to debulk the substrate for recurrent ventricular arrhythmias.

heartrhythm case reports

Nonobstructive septal hypertrophy in a young adult provoking recurrent polymorphic ventricular tachycardia successfully treated with transaortic and transventricular septal myectomy: A case report