© 2005 by BMJ Publishing Group & British Cardiac Society
CASE REPORT
Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, UK
Correspondence to:
Correspondence to:
Dr Sharad C Agarwal
Department of Cardiology, Freeman Hospital, Newcastle upon Tyne NE77RA, UK; shragarwal{at}aol.com
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.
Abbreviations: HCM, hypertrophic cardiomyopathy; LAD, left anterior descending coronary artery; PTSMA, percutaneous transluminal alcohol septal myocardial ablation
Keywords: apical myocardial injury; hypertrophic cardiomyopathy; septal ablation
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Heart 2005 91: 79.
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Fifer, M. A., Vlahakes, G. J.
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Fifer, M. A.
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