Rapid progression of septal hypertrophy in an adult with hypertrophic cardiomyopathy and excimer laser-treated coronary artery disease.
We present the case of a 55-year-old man with rapid progression from asymmetrical septal hypertrophy to hypertrophic obstructive cardiomyopathy over a 1-year period leading to persistent anginal symptoms despite adequate treatment of his concomitant coronary artery disease. The potential mutagenic side effects of XeCl excimer laser-radiation that was used to remove the arteriosclerotic plaque from the left anterior descending coronary artery may have contributed to the sudden increase in septal thickness.
Kerker
J P
JP
Department of Cardiology, Ikazia Hospital, Rotterdam, Netherlands.
Strikwerda
S
S
Ten Cate
F J
FJ
D016342:Angioplasty, Laser / Q000009:adverse effects; D006332:Cardiomegaly / Q000150:complications; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D006346:Heart Septum / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged