Percutaneous Septal Ablation for Left Mid-ventricular Obstructive Hypertrophic Cardiomyopathy: a Case Report
Overview
Affiliations
Background: Mid-ventricular obstructive hypertrophic cardiomyopathy (MVOHC) is a rare type of cardiomyopathy. The diagnosis is based on the hourglass appearance on the left ventriculogram and the presence of pressure gradient between apical and basal chamber of the ventriculum on the hemodynamic assessment.
Case Presentation: The present case represents successful percutaneous treatment with septal ablation to patient with MVOHC associated with systolic anterior motion of the mitral valve and obstruction at both the mid-ventricular and outflow levels.
Conclusion: Alcohol septal ablation has been proposed as less invasive alternatives to surgery in patients with MVOHC.
Li J, Wei X Heliyon. 2024; 10(10):e31492.
PMID: 38807870 PMC: 11130719. DOI: 10.1016/j.heliyon.2024.e31492.
Apical hypertrophic cardiomyopathy: pathophysiology, diagnosis and management.
Li J, Fang J, Liu Y, Wei X Clin Res Cardiol. 2023; 113(5):680-693.
PMID: 37982860 PMC: 11026226. DOI: 10.1007/s00392-023-02328-8.
Zhang X, Liu X Exp Ther Med. 2019; 18(3):2238-2242.
PMID: 31410174 PMC: 6676147. DOI: 10.3892/etm.2019.7796.
Tezuka A, Higo K, Nakamukae Y, Nishihara S, Kamikawa M, Shimofuku C Intern Med. 2018; 58(4):535-539.
PMID: 30333393 PMC: 6421145. DOI: 10.2169/internalmedicine.0997-18.
Alcohol Septal Ablation for the Treatment of Hypertrophic Obstructive Cardiomyopathy.
OMahony C, Mohiddin S, Knight C Interv Cardiol. 2018; 9(2):108-114.
PMID: 29588787 PMC: 5808675. DOI: 10.15420/icr.2011.9.2.108.