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Left ventricular outflow tract obstruction after mitral valve repair treated with alcohol septal ablation
Author(s) -
Honěk Jakub,
Zemánek David,
Veselka Josef
Publication year - 2013
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.24870
Subject(s) - alcohol septal ablation , medicine , ventricular outflow tract obstruction , cardiology , mitral valve , mitral valve replacement , ventricular outflow tract , hypertrophic cardiomyopathy , surgery , cardiomyopathy , mitral valve repair , septal myectomy , heart septum , ablation , catheter , obstructive cardiomyopathy , heart failure
Left ventricular outflow tract (LVOT) obstruction due to systolic anterior motion of the mitral valve (SAM) occurs in 4–5% of patients after mitral valve repair. If conservative treatment is unsuccessful, reoperation is indicated. Treatment options include repeated mitral valve repair or valve replacement and septal myectomy if hypertrophy is present. We report a case of a patient with pre‐operatively undiagnosed hypertrophic cardiomyopathy who suffered from progressive dyspnea post‐operation due to severe LVOT obstruction with SAM. This case was successfully treated with catheter‐based alcohol septal ablation. © 2013 Wiley Periodicals, Inc.