Early opening of dormant septal collaterals during alcohol septal ablation: a possible hazard of remote necrosis
Language English Country Great Britain, England Media print-electronic
Document type Case Reports, Journal Article, Research Support, Non-U.S. Gov't, Video-Audio Media
PubMed
24054921
DOI
10.1016/j.cjca.2013.07.003
PII: S0828-282X(13)00445-5
Knihovny.cz E-resources
- MeSH
- Ablation Techniques adverse effects MeSH
- Ethanol adverse effects MeSH
- Cardiomyopathy, Hypertrophic surgery MeSH
- Collateral Circulation * MeSH
- Coronary Angiography MeSH
- Humans MeSH
- Myocardium pathology MeSH
- Necrosis etiology MeSH
- Aged MeSH
- Heart Septum pathology surgery MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Video-Audio Media MeSH
- Journal Article MeSH
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
- Names of Substances
- Ethanol MeSH
Alcohol septal ablation has become a common method to relieve left ventricular outflow track gradient in selected patients with hypertrophic obstructive cardiomyopathy. There is only limited knowledge regarding inadvertent remote (nontarget) myocardial necrosis caused by septal collateral recruitment. Herein we describe a case of unexpected contrast medium leakage through newly opened septal collateral circulation immediately after low-dose ethanol injection suggesting that angiographic inspection of collateral recruitment is necessary in all cases of repeat ethanol injection.
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