Joyal Dominique, Arab Dinesh, Chen-Johnston Carol, Leya Ferdinand
Division of Cardiology, Loyola University Medical Center, Maywood, Illinois 60153, USA.
Catheter Cardiovasc Interv. 2007 Jun 1;69(7):999-1002. doi: 10.1002/ccd.21165.
We describe the case of a successful alcohol septal ablation in a patient with persistent gradient and severe symptoms postsurgical myectomy. The alcohol ablation of the thickened septum abolished the left ventricular outflow gradient and the systolic anterior motion (SAM) of the mitral valve. Although the surgical literature advocates for mitral valve replacement in patients who continue to have SAM with significant outflow obstruction postmyectomy, targeted alcohol septal ablation of the remaining septum appears to be an attractive alternative.
我们描述了一例在接受外科室间隔切除术后仍存在持续压差和严重症状的患者中成功进行酒精室间隔消融的病例。对增厚的室间隔进行酒精消融消除了左心室流出道压差以及二尖瓣的收缩期前向运动（SAM）。尽管外科文献主张对室间隔切除术后仍有SAM且伴有明显流出道梗阻的患者进行二尖瓣置换，但对剩余室间隔进行有针对性的酒精室间隔消融似乎是一种有吸引力的替代方法。
