医学
经皮
烧蚀
隔脊髓切除术
射频消融术
外科
肥厚性心肌病
放射科
心脏病学
梗阻性心肌病
作者
Bruno Pereira Valdigem,Edileide de Barros Correia,Dalmo Antônio Ribeiro Moreira,David Costa de Souza Le Bihan,Ibraim Masciarelli Pinto Filho,Antonio Tito Paladino Filho,Alexandre Abizaid,João Henrique Zucco Viesi,Tiago C. dos Santos,Paulo Chaccur
标识
DOI:10.1016/j.athoracsur.2021.01.029
摘要
This report describes the case of a 64-year-old woman with a previous diagnosis of obstructive hypertrophic cardiomyopathy who underwent surgical myectomy but who had a persistent midventricular residual gradient. The patient was symptomatic despite medical treatment and chose to undergo percutaneous radiofrequency (RF) ablation focused on the gradient. RF delivery was performed, and the gradient was reduced from the initial 105/68 mm Hg (during Valsalva maneuver/at rest before ablation) to 24/10 mm Hg. This reduction was sustained for the next 12 months. Percutaneous RF ablation may be a reasonable option for second surgical myectomy, and the protocol can be easily reproduced. This report describes the case of a 64-year-old woman with a previous diagnosis of obstructive hypertrophic cardiomyopathy who underwent surgical myectomy but who had a persistent midventricular residual gradient. The patient was symptomatic despite medical treatment and chose to undergo percutaneous radiofrequency (RF) ablation focused on the gradient. RF delivery was performed, and the gradient was reduced from the initial 105/68 mm Hg (during Valsalva maneuver/at rest before ablation) to 24/10 mm Hg. This reduction was sustained for the next 12 months. Percutaneous RF ablation may be a reasonable option for second surgical myectomy, and the protocol can be easily reproduced.
科研通智能强力驱动
Strongly Powered by AbleSci AI