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Alcohol septal ablation after failed surgical myectomy
Author(s) -
Joyal Dominique,
Arab Dinesh,
ChenJohnston Carol,
Leya Ferdinand
Publication year - 2007
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.21165
Subject(s) - alcohol septal ablation , medicine , mitral valve replacement , septal myectomy , cardiology , heart septum , ablation , mitral valve , surgery , outflow , hypertrophic cardiomyopathy , obstructive cardiomyopathy , physics , meteorology
We describe the case of a successful alcohol septal ablation in a patient with persistent gradient and severe symptoms postsurgical myectomy. The alcohol ablation of the thickened septum abolished the left ventricular outflow gradient and the systolic anterior motion (SAM) of the mitral valve. Although the surgical literature advocates for mitral valve replacement in patients who continue to have SAM with significant outflow obstruction postmyectomy, targeted alcohol septal ablation of the remaining septum appears to be an attractive alternative. © 2007 Wiley‐Liss, Inc.