PMID: 16093594Aug 12, 2005

Successful coronary stenting of the left anterior descending artery at the branching site of the targeted septal perforator immediately after percutaneous transluminal septal myocardial ablation in hypertrophic obstructive cardiomyopathy

Internal Medicine
Tsuyoshi HondaHisao Ogawa

Abstract

We report a case of simultaneous percutaneous treatment of hypertrophic obstructive cardiomyopathy (HOCM) and coronary artery disease. Cardiac catheterization revealed a left ventricular outflow tract pressure gradient (LVOTPG) of 130 mmHg and a significant left anterior descending artery (LAD) stenosis at the site of the 1st major septal branch. The LVOTPG was eliminated by injection of ethanol into the branch. Subsequently, a coronary stent was implanted in the LAD. A coil stent was selected due to possibility of repeat septal ablation in the future. Simultaneous treatment of HOCM and LAD stenosis is considered safe and effective using a coil stent.

References

May 26, 1998·Catheterization and Cardiovascular Diagnosis·H SeggewissU Gleichmann
Jun 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J GasparJ Kuri

Citations

May 19, 2012·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Nicolas CombaretJean René Lusson
Aug 8, 2012·European Journal of Heart Failure·Andrea FrustaciCristina Chimenti
Dec 30, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Guillermo A Llamas-Esperón, Santiago Sandoval-Navarrete

Related Concepts

Ethanol
Idiopathic Hypertrophic Subaortic Stenosis
Coronary Heart Disease
Sinus Node Artery
Embolization, Therapeutic
Heart Septum
Stent, Device
Comorbidity
Percutaneous Transluminal Coronary Angioplasty
Left Ventricular Function

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