title: Alcohol septal ablation versus surgical myectomy: a patient with obstructive HCM.
abstract: BACKGROUND
  A 42-year-old woman with a 20-year history of obstructive hypertrophic cardiomyopathy was referred for alcohol septal ablation following a worsening of symptoms, which had persisted despite medical treatment.
  
  
  METHODS
  Physical examination, electrocardiography, rest-exercise Doppler and two-dimensional echocardiography, coronary angiography, intracoronary myocardial contrast echocardiography, and intraoperative transesophageal and epicardial echocardiography.
  
  
  METHODS
  Symptomatic obstructive hypertrophic cardiomyopathy.
  
  
  RESULTS
  The patient was deemed unsuitable for alcohol septal ablation and underwent surgical myectomy guided by intraoperative echocardiography.
authors: Echocardiography Unit, Cardiac Surgery Department, Vita-Salute San Raffaele University, Milan, Italy. lacanna.giovanni@hsr.it
authors: Giovanni
authors: G
authors: La Canna
authors: Flavio
authors: F
authors: Airoldi
authors: Elvia
authors: E
authors: Capritti
authors: Antonio
authors: A
authors: Grimaldi
authors: Antonio
authors: A
authors: Colombo
authors: Ottavio
authors: O
authors: Alfieri
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D000431:Ethanol / Q000008:administration & dosage*; D005080:Exercise Test; D005260:Female; D005500:Follow-Up Studies; D006346:Heart Septum / Q000187:drug effects* / Q000601:surgery*; D006801:Humans; D007267:Injections; D009200:Myocardial Contraction / Q000502:physiology; D012997:Solvents / Q000008:administration & dosage*
chemical_list: D012997:Solvents; D000431:Ethanol