酒精间隔消融术与外科心肌切除术：一名梗阻性肥厚型心肌病患者
Alcohol septal ablation versus surgical myectomy: a patient with obstructive HCM.
作者信息
La Canna Giovanni, Airoldi Flavio, Capritti Elvia, Grimaldi Antonio, Colombo Antonio, Alfieri Ottavio
机构信息
Echocardiography Unit, Cardiac Surgery Department, Vita-Salute San Raffaele University, Milan, Italy.
出版信息
Nat Clin Pract Cardiovasc Med. 2007 Oct;4(10):570-6. doi: 10.1038/ncpcardio0988.
BACKGROUND
A 42-year-old woman with a 20-year history of obstructive hypertrophic cardiomyopathy was referred for alcohol septal ablation following a worsening of symptoms, which had persisted despite medical treatment.
INVESTIGATIONS
Physical examination, electrocardiography, rest-exercise Doppler and two-dimensional echocardiography, coronary angiography, intracoronary myocardial contrast echocardiography, and intraoperative transesophageal and epicardial echocardiography.
DIAGNOSIS
Symptomatic obstructive hypertrophic cardiomyopathy.
MANAGEMENT
The patient was deemed unsuitable for alcohol septal ablation and underwent surgical myectomy guided by intraoperative echocardiography.
背景
一名42岁女性，有20年梗阻性肥厚型心肌病病史，尽管接受了药物治疗，但症状仍持续恶化，遂转诊接受酒精室间隔消融术。
检查
体格检查、心电图、静息-运动多普勒和二维超声心动图、冠状动脉造影、冠状动脉内心肌对比超声心动图以及术中经食管和心外膜超声心动图。
诊断
症状性梗阻性肥厚型心肌病。
治疗
该患者被认为不适合酒精室间隔消融术，遂在术中超声心动图引导下接受了外科心肌切除术。
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