Case Report
REATMENT WITH ALCOHOL SEPTAL ABLATION IN A PATIENT WITH DYNAMIC LEFT VENTRICULE OBSTRUCTION DUE TO SIGMOID SHAPED SEPTUM
Abstract
Sigmoid shaped septum is not a common cause of left ventricle dynamic obstruction. The treatment of symptomatic patients in this patient group is not clear yet. We describe a case with LVOT obstruction due to sigmoid-shaped septum, in which alcohol septal ablation improved LVOT gradient and relieved her clinical symptoms.
Dr. Gülhan Yüksel KALKAN
Dr. Zafer ELBASAN
Dr. Osman KULOĞLU
Dr. Mustafa GÜR
Dr. Murat ÇAYLI
References
- 1. Goor D, Lillehei CW, Edwards JE. The "sigmoid septum": Variation in the contour of the left ventricule outlet. Am J Roentgenol 1969;107:366-76.
- 2. Kovacic JC, Khanna D, Kaplish D, Ka-rajgikar R, Sharma SK, Kini A. Safety and efficacy of alcohol ablation in pati-ens with symptomatic concentric left ventricular hypertrophy and outflow tract obstruction. J Invasive Cardiol 2010;22:586-91.
- 3. Dalldorf FG, Willis PW IV. Angled aorta (‘sigmoid septum’) as a cause of hypertrophic subaortic stenosis. Hum Pathol 1985;16:457-62.
- 4. Iida K, Sugishita Y, Ajisaka R, et al. Sig-REFERENCES moid septum causing left ventricular outflow tract obstruction: A case report. J Cardiogr 1986;16:237-47.
- 5. Goor D, Lillehei CW, Edwards JE. The ‘sigmoid septum': variation in the contour of the left ventricular outlet. Am J Roentgenol 1969;107:366-76.
- 6. Konishi C, Shiraishi J, Muraguchi N, et al. Beneficial effect of cibenzoline on left ventricular pressure gradient with sigmoid septum. Circ J 2004;68:968- 71.
- 7. Toth AB,. Engel JA, McManus AM, McManus BM. Sigmoidity of the ventricular septum revisited: progression in early adulthood predominance in men, and independence from cardiac mass. Am J Cardiovasc Pathol 1988;2:211-23.
- 8. Dalldorf FG, Willis PW. Angled aorta (‘sigmoid septum’) as a cause of hypertrophic subaortic stenosis. Hum Pathol 1985;16:457-462.
- 9. Isuru R, Yeoh T, Yiannikas J. Negative inotropic agents for the treatment of left ventricular outflow tract obstruction due to sigmoid septum and concentric left ventricular hypertrophy. Heart Lung Circ 2011;20:579-86.
- 10. Sonoda M, Takenaka K, Watanabe F, et al. Dobutamine stress causes left ventricular outflow tract obstruction. J Cardiol 1996;27:45-8.
SİGMOİD ŞEKÎLLİ SEPTUMA BAĞLI SOL VENTRİKÜL OBSTRÜKSİYONU OLAN BİR HASTANIN SEPTAL ALKOL ABLASYON İLE TEDAVİSİ
Abstract
Sigmoid şekilli septum sol ventrikül çıkış yolu obstruksiyonunun sık görülen bir sebebi değildir. Bu hasta grubunda semptomatik hastaların tedavisi henüz net değildir. Biz septal alkol ablasyonu ile sol ventrikül çıkış yolu gradientinde azalma ve semptomlarda düzelme sağlanan, sigmoid şekilli septuma bağlı sol ventrikül çıkış-yolu obstruksiyonu olan bir vakayı sunduk.
References
- 1. Goor D, Lillehei CW, Edwards JE. The "sigmoid septum": Variation in the contour of the left ventricule outlet. Am J Roentgenol 1969;107:366-76.
- 2. Kovacic JC, Khanna D, Kaplish D, Ka-rajgikar R, Sharma SK, Kini A. Safety and efficacy of alcohol ablation in pati-ens with symptomatic concentric left ventricular hypertrophy and outflow tract obstruction. J Invasive Cardiol 2010;22:586-91.
- 3. Dalldorf FG, Willis PW IV. Angled aorta (‘sigmoid septum’) as a cause of hypertrophic subaortic stenosis. Hum Pathol 1985;16:457-62.
- 4. Iida K, Sugishita Y, Ajisaka R, et al. Sig-REFERENCES moid septum causing left ventricular outflow tract obstruction: A case report. J Cardiogr 1986;16:237-47.
- 5. Goor D, Lillehei CW, Edwards JE. The ‘sigmoid septum': variation in the contour of the left ventricular outlet. Am J Roentgenol 1969;107:366-76.
- 6. Konishi C, Shiraishi J, Muraguchi N, et al. Beneficial effect of cibenzoline on left ventricular pressure gradient with sigmoid septum. Circ J 2004;68:968- 71.
- 7. Toth AB,. Engel JA, McManus AM, McManus BM. Sigmoidity of the ventricular septum revisited: progression in early adulthood predominance in men, and independence from cardiac mass. Am J Cardiovasc Pathol 1988;2:211-23.
- 8. Dalldorf FG, Willis PW. Angled aorta (‘sigmoid septum’) as a cause of hypertrophic subaortic stenosis. Hum Pathol 1985;16:457-462.
- 9. Isuru R, Yeoh T, Yiannikas J. Negative inotropic agents for the treatment of left ventricular outflow tract obstruction due to sigmoid septum and concentric left ventricular hypertrophy. Heart Lung Circ 2011;20:579-86.
- 10. Sonoda M, Takenaka K, Watanabe F, et al. Dobutamine stress causes left ventricular outflow tract obstruction. J Cardiol 1996;27:45-8.
There are 10 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiology |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 22, 2016 |
| Published in Issue | Year 2016 Volume: 8 Issue: 1 |
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