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Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol
Rania Hammami1, Amine Kammoun1, Majed Hassine2
1Cardiology Department, Faculty of Medicine University of Sfax Sfax Tunisia.
Insights
Anomalous chordal insertion, often linked to hypertrophic obstructive cardiomyopathy (HOCM), can be treated with alcohol septal ablation. This case study demonstrates successful non-surgical relief of HOCM obstruction in a patient with anomalous chordae.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Case Reports
Background:
- Anomalous chordal insertion is a rare condition that can be associated with hypertrophic obstructive cardiomyopathy (HOCM).
- Diagnosis of anomalous chordae and HOCM can be challenging and often delayed.
- Alcohol septal ablation is an established alternative to surgical myomectomy for HOCM, but its use in cases with anomalous chordae is less common.
Abstract:
Anomalous insertion of chordae is a rare disease that could be associated with hypertrophic obstructive cardiomyopathy (HOCM), but clinical and echocardiographic diagnoses tend to be delayed. Alcohol septal ablation has emerged as an alternative to surgical myomectomy in HOCM. When a patient showed an anomalous insertion of chordae, physicians generally opt for surgery and not alcohol septal ablation. In this report, we present the case of a lady, with symptomatic HOCM associated with a chord inserted on the left ventricular outflow tract. We succeeded to relieve obstruction by alcohol septal ablation without the need for surgery.
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