Mitral Valve Replacement to Control Recurrent Systolic Anterior Motion of Mitral Valve and Left Ventricular Outflow Tract Obstruction after Alcohol Septal Ablation.
- Author:
Mi Jeong KIM
1
;
Hyuk KOH
;
Jon SUH
;
In Hyun JUNG
;
Sang Hyun KIM
;
Jeong Hoon KIM
;
Hyun SONG
;
Jong Min SONG
;
Duk Hyun KANG
;
Jae Kwan SONG
Author Information
1. Division of Cardiology, Department of Internal Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. jksong@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Catheter ablation;
Mitral regurgitation;
Left ventricular hypertrophy;
Left ventricular outflow obstruction
- MeSH:
Catheter Ablation;
Dyspnea;
Heart Ventricles;
Humans;
Hypertrophy, Left Ventricular;
Middle Aged;
Mitral Valve Insufficiency;
Mitral Valve*;
Ventricular Outflow Obstruction
- From:Journal of Cardiovascular Ultrasound
2006;14(4):149-152
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dynamic left ventricular outflow tract (LVOT) obstruction caused by systolic anterior motion (SAM) of the mitral valve is observed in variable clinical conditions with anatomical or functional abnormalities of LVOT and mitral valve. Several treatment options to relieve obstruction have been suggested including medications to change the contractility of left ventricle, volume reduction of interventricular septum by surgical or non-surgical catheter-based intervention, and surgical correction of the abnormal mitral valve. Here we reported a case of 48-year-old man who presented with shortness of breath. After repeated alcohol septal ablation, mitral valve replacement was finally performed to achieve complete symptom relief.