Singapore Med J 2013; 54(8): e172-e175; http://dx.doi.org/10.11622/smedj.2013164
Coil embolisation of a septal artery in a patient with hypertrophic obstructive cardiomyopathy
Chan Wah Hak YS, Chan C
Correspondence: Mr Yee Sen Chan Wah Hak, yeesenchan@gmail.com
ABSTRACT
Nonsurgical septal reduction by coil embolisation of the first major septal branch was successfully performed in a 34-year-old patient with hypertrophic obstructive cardiomyopathy, resulting in acute reduction of left ventricular outflow tract obstruction and symptomatic improvement. Follow-up at 18 months showed sustained clinical and echocardiographic benefits from the procedure. To the best of our knowledge, this is the first case reported in Singapore.
Keywords: coil embolisation, hypertrophic obstructive cardiomyopathy, nonsurgical septal reduction
Singapore Med J 2013; 54(8): e172-e175; http://dx.doi.org/10.11622/smedj.2013164
REFERENCES
1. Maron B, McKenna WJ, Danielson GK, et al. American College of Cardiology/European Society of Cardiology Clinical Expert Consensus Document on Hypertrophic Cardiomyopathy. A report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents and the European Society of Cardiology Committee for Practice Guidelines. Eur Heart J 2003; 24:1965-91. http://dx.doi.org/10.1016/S0195-668X(03)00479-2 |
|
2. Gersh BJ, Maron BJ, Bonow RO, et al. 2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 2011; 58:e212-60. http://dx.doi.org/10.1016/j.jacc.2011.06.011 |
|
3. Hess O, Sigwart U. New treatment strategies for hypertrophic obstructive cardiomyopathy: alcohol ablation of the septum: the new gold standard? J Am Coll Cardiol 2004; 44:2054-5. http://dx.doi.org/10.1016/j.jacc.2004.08.047 |
|
4. Agarwal S, Tuzcu E, Desai MY, et al. Updated meta-analysis of septal alcohol ablation versus myectomy for hypertrophic cardiomyopathy. J Am Coll Cardiol 2010; 55:823-34. http://dx.doi.org/10.1016/j.jacc.2009.09.047 |
|
5. Talreja DR, Nishimura RA, Edwards WD, et al. Alcohol septal ablation versus surgical septal myectomy: comparison of effects on atrioventricular conduction tissue. J Am Coll Cardiol 2004; 44:2329-32. http://dx.doi.org/10.1016/j.jacc.2004.09.036 |
|
6. Nagueh SF, Groves BM, Schwartz L, et al. Alcohol septal ablation for the treatment of hypertrophic obstructive cardiomyopathy. A multicenter North American registry. J Am Coll Cardiol 2011; 58:2322-8. http://dx.doi.org/10.1016/j.jacc.2011.06.073 |
|
7. Durand E, Mousseaux E, Coste P, et al. Non-surgical septal myocardial reduction by coil embolization for hypertrophic obstructive cardiomyopathy: early and 6 months follow-up. Eur Heart J 2008; 29:348-55. http://dx.doi.org/10.1093/eurheartj/ehm632 |