PMID- 10435366
OWN - NLM
STAT- MEDLINE
DCOM- 19991004
LR  - 20190516
IS  - 0918-2918 (Print)
IS  - 0918-2918 (Linking)
VI  - 38
IP  - 7
DP  - 1999 Jul
TI  - Non-surgical reduction of septal myocardial mass in a patient with hypertrophic 
      obstructive cardiomyopathy.
PG  - 585-9
AB  - Non-surgical reduction of septal myocardial mass was performed with success in a 
      48-year-old male with hypertrophic obstructive cardiomyopathy. Angioplasty 
      balloon inflated in the first septal branch of the left anterior descending 
      artery dramatically reduced the pressure gradient across the outflow tract of the 
      left ventricle. Following injections of absolute alcohol into the artery with the 
      balloon kept inflated induced a small septal myocardial infarction. By 
      hemodynamic evaluation, the peak pressure gradient of 108 mmHg before the 
      procedure was decreased to 30 mmHg. Clinical improvement in New York Heart 
      Association (NYHA) functional class was obtained. At 3-month follow-up, the 
      patient was doing quite well; the gradient was only 10 mmHg at rest and 25 mmHg 
      with Valsalva maneuver.
FAU - Fusegawa, Y
AU  - Fusegawa Y
AD  - Department of Internal Medicine, Tokai University School of Medicine, Isehara, 
      Kanagawa.
FAU - Abe, S
AU  - Abe S
FAU - Sakakibara, M
AU  - Sakakibara M
FAU - Handa, S
AU  - Handa S
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Intern Med
JT  - Internal medicine (Tokyo, Japan)
JID - 9204241
SB  - IM
MH  - *Angioplasty, Balloon
MH  - Blood Pressure
MH  - Cardiomyopathy, Hypertrophic/diagnostic imaging/physiopathology/*therapy
MH  - Echocardiography
MH  - Electrocardiography
MH  - Hemodynamics
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
EDAT- 1999/08/06 00:00
MHDA- 1999/08/06 00:01
CRDT- 1999/08/06 00:00
PHST- 1999/08/06 00:00 [pubmed]
PHST- 1999/08/06 00:01 [medline]
PHST- 1999/08/06 00:00 [entrez]
AID - 10.2169/internalmedicine.38.585 [doi]
PST - ppublish
SO  - Intern Med. 1999 Jul;38(7):585-9. doi: 10.2169/internalmedicine.38.585.