RT Journal Article
SR Electronic
T1 Apical myocardial injury caused by collateralisation of a septal artery during ethanol septal ablation
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP e2
OP e2
DO 10.1136/hrt.2004.047993
VO 91
IS 1
A1 Agarwal, S C
A1 Purcell, I F
A1 Furniss, S S
YR 2005
UL http://heart.bmj.com/content/91/1/e2.abstract
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.