Permanent Pacing in a Patient with Left Ventricular Mid-Cavity Obstruction and Apical Aneurysm
Shigeyoshi Miura1, Taiji Okada1, Hiroaki Kuroda1
1Division of Cardiology, Shimane University Faculty of Medicine.
Insights
Permanent pacing effectively reduced left ventricular (LV) mid-cavity obstruction and symptoms in a patient with hypertrophic cardiomyopathy and apical aneurysm. This minimally invasive approach offered sustained relief for 4 years, presenting a viable option for elderly patients.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Hypertrophic cardiomyopathy (HCM) with left ventricular (LV) mid-cavity obstruction and apical aneurysm presents significant morbidity and mortality.
- Optimal treatment strategies for this complex condition remain debated, lacking established consensus.
Abstract:
Hypertrophic cardiomyopathy with left ventricular (LV) mid-cavity obstruction and LV apical aneurysm is associated with high morbidity and mortality rates. However, consensus is lacking on the treatment modality for LV mid-cavity obstruction and LV apical aneurysm. Here, we report a case of reduced LV mid-cavity pressure gradient and symptoms, treated using permanent pacing. The effect of permanent pacing on pressure gradient and symptoms lasted for 4 years. As pacing is relatively non-invasive compared to surgical therapy, permanent pacing is a good option, especially in the elderly patients with LV mid-cavity obstruction and apical aneurysm.
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