| Alcohol septal ablation through an anomalous right coronary septal perforator: first report and discussion. | |
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MedLine Citation:
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PMID: 19494415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Alcohol septal ablation has become an acceptable alternative to surgical myectomy in patients with hypertrophic obstructive cardiomyopathy who meet strict clinical and anatomic criteria. While the first septal perforator arising off the left anterior descending artery is the typical conduit for alcohol septal ablation, patients with hypertrophic cardiomyopathy and severe septal hypertrophy may present with unusual septal perforator anatomy, including anomalous origin. We present the case of a patient in whom the dominant basal septal perforator arose anomalously off the proximal right coronary artery. This anomaly has not previously been reported in patients without obstructive left coronary disease. Successful alcohol septal ablation was performed with the use of myocardial contrast echocardiography and optimum guide catheter and balloon support. Anomalous origin, when encountered, may be utilized successfully for alcohol septal ablation, and should not be considered a contraindication to the procedure. |
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Authors:
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David Choi; Joseph Dardano; Srihari S Naidu |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of invasive cardiology Volume: 21 ISSN: 1557-2501 ISO Abbreviation: J Invasive Cardiol Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-06-04 Completed Date: 2009-09-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8917477 Medline TA: J Invasive Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: e106-9 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Medicine, Winthrop University Hospital, Mineola, NY 11501, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Catheter Ablation
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methods* Coronary Vessel Anomalies / diagnosis, surgery Coronary Vessels / surgery* Ethanol* Heart Catheterization / methods* Heart Septal Defects, Ventricular / diagnosis, surgery Humans Male Middle Aged Ventricular Septum / surgery* |
| Chemical | |
Reg. No./Substance:
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64-17-5/Ethanol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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