Int J Cardiol. 2011 Feb 17;147(1):143-4. doi: 10.1016/j.ijcard.2009.10.016. Epub 2009 Nov 11.
Alcohol septal ablation is an emerging technique for the reduction of the subaortic gradient in hypertrophic obstructive cardiomyopathy. The selection of the branch to be ablated is not always obvious, however, and the use of Myocardial Contrast Echocardiography assists in the proper localization of the perfusion area of each branch. We present a case of alcohol septal ablation in a 78-year old woman, in whom the choice of the optimal branch for septal ablation was performed after careful evaluation of the echocardiographic images, in accordance with the angiographic appearance. Alcohol septal ablation was performed without complications and resulted in reduction of the subaortic gradient and improvement of the patient's functional capacity.
酒精室间隔消融术是一种用于降低肥厚型梗阻性心肌病患者主动脉下梯度的新兴技术。然而,消融的分支选择并不总是显而易见的,心肌声学造影的应用有助于正确定位每个分支的灌注区域。我们报告了一例 78 岁女性的酒精室间隔消融术,在仔细评估超声心动图图像后,根据血管造影表现选择了最佳的室间隔消融分支。酒精室间隔消融术无并发症,降低了主动脉下梯度,改善了患者的功能能力。