Balloon positioning difficulties during nonsurgical septal reduction therapy in a patient with hypertrophic obstructive cardiomyopathy.
Dual chamber (DDD) pacing and catheter-based nonsurgical septal reduction therapy (NSRT) with ethanol are evaluated for treatment of patients with hypertrophic cardiomyopathy. This report describes a patient with hypertrophic cardiomyopathy and left ventricular outflow tract obstruction who had failed to respond to DDD pacing but showed benefit from subsequent NSRT. Procedural difficulties during NSRT due to massive septal hypertrophy are presented.
Dudek
D
D
Institute of Cardiology, Collegium Medicum, Jagiellonian University, Krakow, Poland. mcdudek@cyf-kr.edu.pl
Gil
R
R
Dimitrow
P P
PP
Legutko
J
J
Pieniazek
P
P
Grodecki
J
J
Przewłocki
T
T
Zmudka
K
K
Tracz
W
W
Dubiel
J S
JS
D000328:Adult; D002304:Cardiac Pacing, Artificial; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000628:therapy*; D002404:Catheterization; D005260:Female; D006801:Humans; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000628:therapy*