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Inferior infarction following alcohol septal ablation: A consequence of “collateral damage”?
Author(s) -
Chowdhary Saqib,
Galiwango Paul,
Woo Anna,
Schwartz Leonard
Publication year - 2006
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20941
Subject(s) - medicine , alcohol septal ablation , cardiology , myocardial infarction , ventricular outflow tract , ablation , obstructive cardiomyopathy , alcohol , hypertrophic cardiomyopathy , biochemistry , chemistry
Alcohol septal ablation is fast becoming the most common method to reduce left ventricular outflow tract gradient in patients with symptomatic hypertrophic obstructive cardiomyopathy. Myocardial contrast echocardiography (MCE) is routinely used as an adjunct to avoid the spread of alcohol to non‐target areas of myocardium. We report two cases where despite the careful use of MCE, remote inferior wall myocardial infarctions occurred. The likely mechanism and possible preventive measures are discussed. © 2006 Wiley‐Liss, Inc.