Amelioration of hypertrophic cardiomyopathy using nonsurgical septal ablation in a cirrhotic patient prior to liver transplantation.
A 53-year-old male with hepatitis C cirrhosis, who had been refused liver transplantation because of hypertrophic cardiomyopathy (HC), underwent nonsurgical septal ablation using alcohol with resolution of his ventricular outflow obstruction. This patient was able to subsequently undergo a successful deceased donor liver transplantation. This is the first reported case of alcohol induced septal ablation being performed in a cirrhotic patient with HC. Such nonsurgical procedures may be attractive in cirrhotic patients who are refused access to liver transplantation because of high surgical risk.
Paramesh
Anil S
AS
Division of Abdominal Organ Transplantation, St. Luke's Medical Center, Aurora Health Care, Milwaukee, WI 53215, USA. anil.paramesh@aurora.org
Fairchild
Ralph B
RB
Quinn
Theresa M
TM
Leya
Fred
F
George
Magdalene
M
Van Thiel
David H
DH
D002312:Cardiomyopathy, Hypertrophic / Q000453:epidemiology / Q000601:surgery*; D017115:Catheter Ablation; D000075202:Contraindications; D006526:Hepatitis C / Q000453:epidemiology; D006801:Humans; D008103:Liver Cirrhosis / Q000453:epidemiology; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D014694:Ventricular Outflow Obstruction / Q000601:surgery