Alcohol septal ablation versus surgical myectomy: a patient with obstructive HCM.
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.
La Canna
Giovanni
G
Echocardiography Unit, Cardiac Surgery Department, Vita-Salute San Raffaele University, Milan, Italy. lacanna.giovanni@hsr.it
Airoldi
Flavio
F
Capritti
Elvia
E
Grimaldi
Antonio
A
Colombo
Antonio
A
Alfieri
Ottavio
O
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*
D012997:Solvents; D000431:Ethanol