PMID- 20799353
OWN - NLM
STAT- MEDLINE
DCOM- 20110209
LR  - 20171116
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 76
IP  - 5
DP  - 2010 Nov 1
TI  - Alcohol septal ablation after myomectomy failure solutions for unusual cases.
PG  - 719-23
LID - 10.1002/ccd.22539 [doi]
AB  - We report an eight-year-old child presented with classical features of 
      hypertrophic obstructive cardiomyopathy and with New York Heart Association 
      (NYHA) class III symptoms, eight months after myectomy and refractory to medical 
      treatment. Cardiac transplantation was indicated due to the severity of symptoms. 
      But the lymphocyte reaction test showed almost 100% reaction of antibodies, and 
      the surgeons rejected the heart transplantation for fear of hyperacute rejection. 
      Then an alcohol septal ablation (ASA) was proposed, which was successfully 
      performed on August 17, 2005. The post-extrasystolic gradient was reduced from 
      160 to 60 mm Hg immediately and no other complications were seen. The child is 
      being followed since then and echocardiography changes include a further 
      reduction of septum thickness and gradient (P = 0.001), and important symptoms 
      relieved after 3.5 years of follow up. ASA may be an option to be considered in 
      children with critical hypertrophic obstructive cardiomyopathy in NYHA functional 
      class III/IV, when other methods of treatment failed. (c) 2010 Wiley-Liss, Inc.
FAU - Cano, Manuel Nicolas
AU  - Cano MN
AD  - Interventional Cardiology Department, Hospital do Coracao, Associacao do 
      Sanatorio Sirio, Sao Paulo, Brazil. sjcano@terra.com.br
FAU - Fortunato de Cano, Silvia Judith
AU  - Fortunato de Cano SJ
FAU - Sousa, J Eduardo M R
AU  - Sousa JE
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
RN  - 3K9958V90M (Ethanol)
SB  - IM
CIN - Catheter Cardiovasc Interv. 2010 Nov 1;76(5):724-5. PMID: 20976754
MH  - *Ablation Techniques
MH  - *Cardiac Surgical Procedures
MH  - Cardiomyopathy, Hypertrophic/diagnostic imaging/physiopathology/surgery/*therapy
MH  - Child
MH  - Contraindications
MH  - Echocardiography, Doppler, Color
MH  - Electrocardiography
MH  - Ethanol/*administration & dosage
MH  - Heart Failure/diagnostic imaging/physiopathology/surgery/*therapy
MH  - Heart Transplantation
MH  - Humans
MH  - Male
MH  - Recovery of Function
MH  - Severity of Illness Index
MH  - Treatment Failure
MH  - Ventricular Function
EDAT- 2010/08/28 06:00
MHDA- 2011/02/10 06:00
CRDT- 2010/08/28 06:00
PHST- 2010/08/28 06:00 [entrez]
PHST- 2010/08/28 06:00 [pubmed]
PHST- 2011/02/10 06:00 [medline]
AID - 10.1002/ccd.22539 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2010 Nov 1;76(5):719-23. doi: 10.1002/ccd.22539.