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Is subcutaneous fat tissue embolization effective and safe as a septal reduction technique in a patient with
Elnur Alizade, Sabahattin Gündüz, Ahmet Güner1
1Department of Cardiology, Kartal Koşuyolu Heart Training and Research Hospital, İstanbul, Turkey. ahmetguner489@gmail.com.
Insights
Hypertrophic obstructive cardiomyopathy (HOCM) can be treated with septal reduction therapy. A novel technique successfully treated a 57-year-old female patient with HOCM, offering a new therapeutic option.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Hypertrophic obstructive cardiomyopathy (HOCM) is an inherited cardiac condition characterized by left ventricular outflow tract (LVOT) obstruction.
- The obstruction is typically caused by basal septal hypertrophy and systolic anterior motion of the anterior mitral valve leaflet.
Observation:
- Septal reduction therapy aims to alleviate LVOT obstruction in HOCM patients.
- Myectomy and transcoronary alcohol septal ablation are established treatments, but a new method has emerged.
Findings:
- This case report details the successful application of a novel septal reduction technique in a 57-year-old female patient with HOCM.
- The new technique effectively addressed the patient's left ventricular outflow tract obstruction.
Implications:
- This novel septal reduction technique presents a promising alternative for HOCM management.
- Further research into this new method could expand treatment options for patients unsuitable for traditional surgery.
Abstract:
Hypertrophic obstructive cardiomyopathy is an inheritable cardiac disease that typically manifests with an increased left ventricular outflow tract gradient. In most cases, basal septal hypertrophy and systolic anterior motion of the anterior mitral valve leaflet are the key components of the left ventricular outflow tract obstruction. The goal of septal reduction therapy, a widely accepted treatment modality, is to remove this obstruction. Although myectomy is a wellestablished and effective surgical technique for septal reduction therapy, transcoronary alcohol septal ablation is an alternative therapy for patients who decline to have surgery or who are not suited to a surgical intervention. A new septal reduction method has also been described in the literature. This case report describes the successful treatment of hypertrophic obstructive cardiomyopathy in a 57-year-old female using the new septal reduction technique.
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