Myectomy or Alcohol Septal Ablation. Surgery and Percutaneous Intervention Go Another Round**Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology.

Alan W. Heldman, Katherine C. Wu, Theodore P. Abraham, Duke E. Cameron

Research output: Contribution to journal › Article

10 Citations (Scopus)

Abstract

Myectomy and alcohol septal ablation are surgical techniques used for the treatment of hypertropic obstructive cardiomyopathy (HOCM). The cardaic magnetic resonance imaging (CMR) investigation performed before and after myectomy and alcohol septal ablation, identified a discrete segment of resection with minimal CMR evidence of myocardial necrosis. A large transmural infraction is found to be located in the basal septum than myectomy and extending into the right ventricular side of the septum at mid-ventricular level. Myectomy is performed through aortotomy and on cardiopulmonary bypass, with resection of septal myocardium to create a channel expanding the left ventricular outflow tract (LVOT). A study of treatment failure with septal ablation found that higher baseline gradient, fewer septal branches injected, lower peak creatine kinase, and smaller risk area by contrast echocardiogram predicted relief of HOCM.

Original languageEnglish
Pages (from-to)358-360
Number of pages3
JournalJournal of the American College of Cardiology
Volume49
Issue number3
DOIs
StatePublished - Jan 23 2007
Externally publishedYes

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Cardiomyopathies
Alcohols
Magnetic Resonance Imaging
Ablation Techniques
Ventricular Septum
Creatine Kinase
Treatment Failure
Cardiopulmonary Bypass
Myocardium
Necrosis

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Myectomy or Alcohol Septal Ablation. Surgery and Percutaneous Intervention Go Another Round**Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology. / Heldman, Alan W.; Wu, Katherine C.; Abraham, Theodore P.; Cameron, Duke E.

In: Journal of the American College of Cardiology, Vol. 49, No. 3, 23.01.2007, p. 358-360.

Research output: Contribution to journal › Article

Heldman, AW, Wu, KC, Abraham, TP & Cameron, DE 2007, 'Myectomy or Alcohol Septal Ablation. Surgery and Percutaneous Intervention Go Another Round**Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology.', Journal of the American College of Cardiology, vol. 49, no. 3, pp. 358-360. https://doi.org/10.1016/j.jacc.2006.10.029
Heldman AW, Wu KC, Abraham TP, Cameron DE. Myectomy or Alcohol Septal Ablation. Surgery and Percutaneous Intervention Go Another Round**Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology. Journal of the American College of Cardiology. 2007 Jan 23;49(3):358-360. https://doi.org/10.1016/j.jacc.2006.10.029
Heldman, Alan W. ; Wu, Katherine C. ; Abraham, Theodore P. ; Cameron, Duke E. / Myectomy or Alcohol Septal Ablation. Surgery and Percutaneous Intervention Go Another Round**Editorials published in the Journal of the American College of Cardiology reflect the views of the authors and do not necessarily represent the views of JACC or the American College of Cardiology. In: Journal of the American College of Cardiology. 2007 ; Vol. 49, No. 3. pp. 358-360.
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abstract = "Myectomy and alcohol septal ablation are surgical techniques used for the treatment of hypertropic obstructive cardiomyopathy (HOCM). The cardaic magnetic resonance imaging (CMR) investigation performed before and after myectomy and alcohol septal ablation, identified a discrete segment of resection with minimal CMR evidence of myocardial necrosis. A large transmural infraction is found to be located in the basal septum than myectomy and extending into the right ventricular side of the septum at mid-ventricular level. Myectomy is performed through aortotomy and on cardiopulmonary bypass, with resection of septal myocardium to create a channel expanding the left ventricular outflow tract (LVOT). A study of treatment failure with septal ablation found that higher baseline gradient, fewer septal branches injected, lower peak creatine kinase, and smaller risk area by contrast echocardiogram predicted relief of HOCM.",
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