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Lookup NU author(s): Dr Stephen Furniss
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In patients who are refractory to medical treatment of hypertrophic cardiomyopathy, surgical myomectomy or percutaneous transluminal alcohol septal myocardial ablation (PTSMA) is appropriate, with both the procedures having comparable results. In PTSMA ethanol is selectively injected into septal arteries supplying the hypertrophied septal myocardium. The authors describe a case of apical myocardial injury caused by passage of ethanol into the distal left anterior descending artery through a septal collateral that developed after double bolus injection of ethanol. They advocate single bolus injection of alcohol to avoid this complication.
Author(s): Agarwal SC, Purcell IF, Furniss SS
Publication type: Article
Publication status: Published
ISSN (print): 1355-6037
ISSN (electronic): 1468-201X
Publisher: BMJ Group
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