Journal Article

Non-surgical myocardial reduction for patients with hypertrophic obstructive cardiomyopathy

U. Sigwart

in European Heart Journal Supplements

Published on behalf of European Society of Cardiology

Volume 3, issue suppl_L, pages L38-L42
Published in print October 2001 | ISSN: 1520-765X
Published online October 2001 | e-ISSN: 1554-2815 | DOI: http://dx.doi.org/10.1016/S1520-765X(01)90063-X
Non-surgical myocardial reduction for patients with hypertrophic obstructive cardiomyopathy

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Until 1994 surgical myotomy-myectomy was the most effective symptomatic treatment for patients with symptoms of hypertrophic cardiomyopathy and dynamic left ventricular outflow tract obstruction refractory to pacing and drug treatment. Similar functional results can now be achieved by the creation of an alcohol-induced septal infarction using a catheter technique. This therapeutic myocardial necrosis results in widening of the left ventricular outflow tract with consequent gradient reduction, followed by clinical and objective improvement, as well as further gradient reduction as a result of left ventricular remodelling.

Keywords: catheter intervention; hypertrophic obstructive cardiomyopathy; percutaneous myocardial ablation; ventricular remodelling

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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