A case of successful percutaneous transluminal septal myocardial ablation for heart failure due to severe left ventricular outflow obstruction with Mönckeberg’s arteriosclerosis, manifested after aortic valvular replacement
Although percutaneous transluminal septal myocardial ablation (PTSMA) has been the established treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM), the efficacy for specific HOCM is not elucidated. We report a successful case of PTSMA for heart failure with severe l...
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| Published in | Cardiovascular intervention and therapeutics Vol. 30; no. 1; pp. 72 - 77 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Tokyo
Springer Japan
01.01.2015
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| Abstract | Although percutaneous transluminal septal myocardial ablation (PTSMA) has been the established treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM), the efficacy for specific HOCM is not elucidated. We report a successful case of PTSMA for heart failure with severe left ventricular outflow tract (LVOT) obstruction due to sigmoid-shaped interventricular septum and diffuse left ventricular hypertrophy with Mönckeberg’s arteriosclerosis and aortic valvular stenosis. While the PTSMA relieved LVOT obstruction and symptoms in the acute phase, the modest recurrence was confirmed 6 months later, which is rare in the case of idiopathic HOCM. The possible mechanisms of LVOT obstruction and recurrence are discussed. |
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| AbstractList | Although percutaneous transluminal septal myocardial ablation (PTSMA) has been the established treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM), the efficacy for specific HOCM is not elucidated. We report a successful case of PTSMA for heart failure with severe left ventricular outflow tract (LVOT) obstruction due to sigmoid-shaped interventricular septum and diffuse left ventricular hypertrophy with Mönckeberg's arteriosclerosis and aortic valvular stenosis. While the PTSMA relieved LVOT obstruction and symptoms in the acute phase, the modest recurrence was confirmed 6 months later, which is rare in the case of idiopathic HOCM. The possible mechanisms of LVOT obstruction and recurrence are discussed. Although percutaneous transluminal septal myocardial ablation (PTSMA) has been the established treatment of symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM), the efficacy for specific HOCM is not elucidated. We report a successful case of PTSMA for heart failure with severe left ventricular outflow tract (LVOT) obstruction due to sigmoid-shaped interventricular septum and diffuse left ventricular hypertrophy with Mönckeberg’s arteriosclerosis and aortic valvular stenosis. While the PTSMA relieved LVOT obstruction and symptoms in the acute phase, the modest recurrence was confirmed 6 months later, which is rare in the case of idiopathic HOCM. The possible mechanisms of LVOT obstruction and recurrence are discussed. |
| Author | Miyahara, Masatoshi Kato, Masafumi Nishikawa, Hideo Uchida, Fumiya Nishimura, Yoshiyuki Suzuki, Hiroyuki |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24566833$$D View this record in MEDLINE/PubMed |
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| Keywords | Secondary hypertrophic obstructive cardiomyopathy Percutaneous transluminal septal myocardial ablation (PTSMA) Mönckeberg’s arteriosclerosis |
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| SubjectTerms | Ablation Techniques - methods Aortic Valve Stenosis - surgery Cardiology Cardiomyopathy, Hypertrophic - complications Cardiomyopathy, Hypertrophic - surgery Case Report Coronary Angiography Echocardiography Female Heart Failure - etiology Heart Failure - surgery Humans Interventional Radiology Medicine Medicine & Public Health Middle Aged Monckeberg Medial Calcific Sclerosis - complications Tomography, X-Ray Computed Ventricular Outflow Obstruction - complications Ventricular Outflow Obstruction - surgery |
| Title | A case of successful percutaneous transluminal septal myocardial ablation for heart failure due to severe left ventricular outflow obstruction with Mönckeberg’s arteriosclerosis, manifested after aortic valvular replacement |
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