PT  - JOURNAL ARTICLE
AU  - Agarwal, S C
AU  - Purcell, I F
AU  - Furniss, S S
TI  - Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation
AID  - 10.1136/hrt.2004.047993
DP  - 2005 Jan 01
TA  - Heart
PG  - e2--e2
VI  - 91
IP  - 1
4099  - http://heart.bmj.com/content/91/1/e2.short
4100  - http://heart.bmj.com/content/91/1/e2.full
SO  - Heart2005 Jan 01; 91
AB  - 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.