Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation

被引：17

作者：

Agarwal, SC ^{[1
]}

Purcell, IF ^{[1
]}

Furniss, SS ^{[1
]}

机构：

[1] Freeman Rd Hosp, Dept Cardiol, Newcastle Upon Tyne NE7 7RA, Tyne & Wear, England

来源：

HEART | 2005年 / 91卷 / 01期

关键词：

D O I：

10.1136/hrt.2004.047993

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

In patients who are refractory to medical treatment of hypertrophic cardiomyopathy, surgical myomectomy or percutaneous transluminal alcohol septal myocardial ablation (PTSMA) is appropriate, with both the procedures having comparable results. In PTSMA ethanol is selectively injected into septal arteries supplying the hypertrophied septal myocardium. The authors describe a case of apical myocardial injury caused by passage of ethanol into the distal left anterior descending artery through a septal collateral that developed after double bolus injection of ethanol. They advocate single bolus injection of alcohol to avoid this complication.

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页数：2

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