Septal myectomy for hypertrophic obstructive cardiomyopathy: coil, boil and the role of rescue surgery.
Interventional treatment of hypertrophic obstructive cardiomyopathy has considerably developed and primary surgical approach is nowadays considered for a minority of patients with insufficient relief of obstruction following catheter intervention. We present the history of a patient who underwent alcohol ablation and developed a life-threatening ventricular septal defect consecutively to a large myocardial infarction because of alcohol injection into the LAD.
Carrel
Thierry
T
Department of Cardiovascular Surgery, University Hospital Berne, Berne, Switzerland. thierry.carrel@insel.ch
Schmidli
Jürg
J
D002312:Cardiomyopathy, Hypertrophic / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D000431:Ethanol / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000209:etiology; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D016879:Salvage Therapy
D000431:Ethanol