An unusual presentation of dyspnea following septal ablation for obstructive hypertrophic cardiomyopathy

Khaled Ghoniem, Rick A. Nishimura, Hartzell V. Schaff

Research output: Contribution to journalArticlepeer-review

Abstract

Residual or recurrent symptoms after septal reduction therapy are most often related to inadequate relief of left ventricular outflow gradients. We recently encountered a 71-year-old woman with hypertrophic cardiomyopathy and prior alcohol septal ablation who had a unique constellation of findings causing her symptoms. She was found to have four potential causes for her symptoms, residual midventricular obstruction, apical distribution of hypertrophy reducing end-diastolic volume, constrictive pericarditis, and marked arterial stiffness, as reflected by aortic atherosclerosis. She underwent complete pericardiectomy, transaortic septal myectomy, transapical myectomy, and replacement of a heavily calcified ascending aorta.

Original languageEnglish (US)
JournalJournal of cardiac surgery
DOIs
StateAccepted/In press - 2020

Keywords

  • aorta and great vessels
  • cardiovascular pathology
  • cardiovascular research
  • clinical review
  • surgical history

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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