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室间隔乙醇化(西格瓦特手术)治疗肥厚型心肌病

Alcoholization of the interventricular septum (Sigwart procedure) for treatment of hypertrophic cardiomyopathy.

作者信息

Di Mario C, Musso P, Moses J J, Tucci G, Reimers B, Colombo A

机构信息

Centro Cuore Columbus, Milano.

出版信息

G Ital Cardiol. 1998 Jan;28(1):45-9; discussion 50-2.

PMID:9493045
Abstract

A patient with NYHA Class III dyspnea under medical treatment for hypertrophic cardiomyopathy underwent alcoholization of the first septal perforator. The procedure induced complete disappearance of the intraventricular gradient, with development of a Q-wave anterior myocardial infarction (peak CK rise = 1645 IU) and a complete right bundle branch block. After 5 months the patient maintains a marked improvement in functional capacity (NYHA Class I).

摘要

一名接受肥厚型心肌病治疗的纽约心脏协会(NYHA)III级呼吸困难患者接受了第一间隔穿支动脉酒精消融术。该手术使心室内压差完全消失,出现了Q波前壁心肌梗死(肌酸激酶峰值升高至1645 IU)和完全性右束支传导阻滞。5个月后,患者的功能能力有了显著改善(NYHA I级)。

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