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Eur J Cardiothorac Surg 2009;36:210-211. doi:10.1016/j.ejcts.2009.03.033
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Case reports

Septal myectomy for hypertrophic obstructive cardiomyopathy: coil, boil and the role of rescue surgery

Thierry Carrel*, Jürg Schmidli

Department of Cardiovascular Surgery, University Hospital Berne, CH-3010 Berne, Switzerland

Received 28 October 2008; received in revised form 16 March 2009; accepted 17 March 2009.

* Corresponding author. Tel.: +41 31 632 23 75; fax: +41 31 632 44 43. (Email: thierry.carrel{at}insel.ch).

Interventional treatment of hypertrophic obstructive cardiomyopathy has considerably developed and primary surgical approach is nowadays considered for a minority of patients with insufficient relief of obstruction following catheter intervention. We present the history of a patient who underwent alcohol ablation and developed a life-threatening ventricular septal defect consecutively to a large myocardial infarction because of alcohol injection into the LAD.

Key Words: Hypertrophic cardiomyopathy • Coil embolisation • Alcohol ablation • Surgery • Complications







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Copyright © 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.