Alcohol septal ablation for symptomatic hypertrophic obstructive cardiomyopathy in patients with prior coronary revascularization

Rami Khouzam, Srihari S. Naidu

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Alcohol septal ablation has become an acceptable alternative to surgical myectomy in patients with hypertrophic obstructive cardiomyopathy who remain significantly symptomatic after optimized medical management and meet strict anatomic criteria. Given the prevalence of coronary artery disease and the variable phenotypic penetrance and age at first diagnosis of hypertrophic cardiomyopathy (HCM), patients may undergo coronary revascularization before a firm diagnosis of HCM is made. Patients with prior revascularization in the form of percutaneous coronary intervention or coronary artery bypass grafting pose unique challenges when contemplating and performing alcohol septal ablation. We present two cases of alcohol septal ablation after prior coronary revascularization, and discuss relevant concerns regarding patient selection, procedural technique and consequent durability of clinical outcome.

Original languageEnglish (US)
JournalJournal of Invasive Cardiology
Volume22
Issue number12
StatePublished - Dec 1 2010

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Hypertrophic Cardiomyopathy
Alcohols
Penetrance
Percutaneous Coronary Intervention
Coronary Artery Bypass
Patient Selection
Coronary Artery Disease

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Alcohol septal ablation for symptomatic hypertrophic obstructive cardiomyopathy in patients with prior coronary revascularization. / Khouzam, Rami; Naidu, Srihari S.

In: Journal of Invasive Cardiology, Vol. 22, No. 12, 01.12.2010.

Research output: Contribution to journalReview article

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