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Case Report: Integrated echocardiographic assessment guided Liwen procedure for treating obstructive hypertrophic

Rui Zhang1, Fan Zhao1, Jing Wang1

  • 1Department of Echocardiography, First Clinical Medicine School, Gansu Province Hospital, Gansu University of Chinese Medicine, Lanzhou, China.

Frontiers in Cardiovascular Medicine
|November 29, 2023
PubMed

Insights

Hypertrophic obstructive cardiomyopathy with left ventricular apical aneurysm (HOCM-LVAA) can be treated with echocardiography-guided radiofrequency ablation. This novel approach shows promise for managing this rare, severe cardiac condition.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Genetics

Background:

  • Hypertrophic cardiomyopathy (HCM) is a genetic myocardial disease with significant incidence and a leading cause of sudden cardiac death (SCD) in young athletes.
  • Left ventricular apical aneurysm (LVAA) is a rare HCM subtype (approx. 5% of cases) associated with increased cardiovascular adverse events.
  • Hypertrophic obstructive cardiomyopathy with LVAA (HOCM-LVAA) poses therapeutic challenges, especially when medical management is insufficient.

Keywords:
contrast-enhanced echocardiographyhypertrophic cardiomyopathyhypertrophic obstructive cardiomyopathyspeckle tracking echocardiographytransthoracic echocardiography

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