Left ventricular outflow tract obstruction in the presence of asymmetric septal hypertrophy and accessory mitral valve tissue treated with alcohol septal ablation
Author(s) -
Michael Kim,
Andrew J. Klein,
Bertron Μ. Groves,
Robert A. Quaife,
Ernesto Salcedo
Publication year - 2008
Publication title -
european heart journal - cardiovascular imaging
Language(s) - English
Resource type - Journals
eISSN - 2047-2412
pISSN - 2047-2404
DOI - 10.1093/ejechocard/jen152
Subject(s) - medicine , alcohol septal ablation , cardiology , ventricular outflow tract obstruction , mitral valve , muscle hypertrophy , hypertrophic cardiomyopathy , ablation , ventricular outflow tract , mitral valve replacement , heart septum , obstructive cardiomyopathy
Redundant or accessory mitral valve tissue (AMVT) is a rare clinical condition. It is an even rarer cause of left ventricular outflow tract obstruction. We report a case of an adult male with medically unresponsive hypertrophic obstructive cardiomyopathy in whom real-time three-dimensional transesophageal echocardiography was used to both diagnose the presence of coexistent asymmetric septal hypertrophy and AMVT as well as confirm the safety and efficacy of treatment with alcohol septal ablation.
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