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Published in: Cardiovascular Intervention and Therapeutics 2/2011

01-05-2011 | Case Report

Remote infarction following percutaneous transluminal septal myocardial ablation: a report of two cases

Authors: Nagamani Alur Chikkabasavaiah, Beeresha Puttegowda, Arunkumar Panneerselvam, Rajiv Ananthakrishna, Aravinda Prasad Kapanigowda, Ramesh Basavappa

Published in: Cardiovascular Intervention and Therapeutics | Issue 2/2011

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Abstract

Percutaneous transluminal septal myocardial ablation is an established therapeutic option for symptomatic hypertrophic obstructive cardiomyopathy refractory to medical therapy. It is a safe procedure in experienced hands, but complications can occur. We report two cases of right ventricular myocardial infarction with inferior wall infarction that occurred after alcohol ablation of the septum. There are no standard guidelines regarding the most appropriate treatment strategy in this clinical scenario. The probable mechanism and management issues are discussed.
Literature
1.
go back to reference van der Lee C, ten Cate FJ, Geleijnse ML, Kofflard MJ, Pedone C, van Herwerden LA, Biagini E, Vletter WB, Serruys PW. Percutaneous versus surgical treatment for patients with hypertrophic obstructive cardiomyopathy and enlarged anterior mitral valve leaflets Circulation. 2005;26, 112(4):482–8. van der Lee C, ten Cate FJ, Geleijnse ML, Kofflard MJ, Pedone C, van Herwerden LA, Biagini E, Vletter WB, Serruys PW. Percutaneous versus surgical treatment for patients with hypertrophic obstructive cardiomyopathy and enlarged anterior mitral valve leaflets Circulation. 2005;26, 112(4):482–8.
2.
go back to reference Maron BJ, et al. American College of Cardiology/European Society of Cardiology clinical expert consensus document on hypertrophic cardiomyopathy. A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines. J Am Coll Cardiol. 2003;42(9):1687–713.PubMedCrossRef Maron BJ, et al. American College of Cardiology/European Society of Cardiology clinical expert consensus document on hypertrophic cardiomyopathy. A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines. J Am Coll Cardiol. 2003;42(9):1687–713.PubMedCrossRef
3.
go back to reference Agarwal SC, Purcell IF, Furniss SS. Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation. Heart. 2005;91(1):e2.PubMedCrossRef Agarwal SC, Purcell IF, Furniss SS. Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation. Heart. 2005;91(1):e2.PubMedCrossRef
4.
go back to reference Parham WA, Kern MJ. Apical infarct via septal collateralization complicating transluminal alcohol septal ablation for hypertrophic cardiomyopathy. Catheter Cardiovasc Interv. 2003;60(2):208–11.PubMedCrossRef Parham WA, Kern MJ. Apical infarct via septal collateralization complicating transluminal alcohol septal ablation for hypertrophic cardiomyopathy. Catheter Cardiovasc Interv. 2003;60(2):208–11.PubMedCrossRef
5.
go back to reference Li ZQ, Cheng TO, Zhang WW, Qiao SB, Zhao LY, Jin YZ, Guan RM, Liu L. Percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy; the Chinese experience in 119 patients from a single center. Int J Cardiol. 2004;93(2–3):197–202.PubMedCrossRef Li ZQ, Cheng TO, Zhang WW, Qiao SB, Zhao LY, Jin YZ, Guan RM, Liu L. Percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy; the Chinese experience in 119 patients from a single center. Int J Cardiol. 2004;93(2–3):197–202.PubMedCrossRef
6.
go back to reference Chowdhary S, Galiwango P, Woo A, Schwartz L. Inferior infarction following alcohol septal ablation: a consequence of “collateral damage”? Catheter Cardiovasc Interv. 2007;1, 69(2):236–42. Chowdhary S, Galiwango P, Woo A, Schwartz L. Inferior infarction following alcohol septal ablation: a consequence of “collateral damage”? Catheter Cardiovasc Interv. 2007;1, 69(2):236–42.
7.
go back to reference Wustmann K, Zbinden S, Windecker S, Meier B, Seiler C. Is there functional collateral flow during vascular occlusion in angiographically normal coronary arteries? Circulation. 2003;6, 107(17):2213–20. Wustmann K, Zbinden S, Windecker S, Meier B, Seiler C. Is there functional collateral flow during vascular occlusion in angiographically normal coronary arteries? Circulation. 2003;6, 107(17):2213–20.
8.
go back to reference Durand E, Mousseaux E, Coste P, Pillière R, Dubourg O, Trinquart L, Chatellier G, Hagège A, Desnos M, Lafont A. Non-surgical septal myocardial reduction by coil embolization for hypertrophic obstructive cardiomyopathy: early and 6 months follow-up. Eur Heart J. 2008;29(3):348–55.PubMedCrossRef Durand E, Mousseaux E, Coste P, Pillière R, Dubourg O, Trinquart L, Chatellier G, Hagège A, Desnos M, Lafont A. Non-surgical septal myocardial reduction by coil embolization for hypertrophic obstructive cardiomyopathy: early and 6 months follow-up. Eur Heart J. 2008;29(3):348–55.PubMedCrossRef
Metadata
Title
Remote infarction following percutaneous transluminal septal myocardial ablation: a report of two cases
Authors
Nagamani Alur Chikkabasavaiah
Beeresha Puttegowda
Arunkumar Panneerselvam
Rajiv Ananthakrishna
Aravinda Prasad Kapanigowda
Ramesh Basavappa
Publication date
01-05-2011
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 2/2011
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-010-0038-8

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