Balloon rupture and alcohol leakage into the left anterior descending coronary artery during percutaneous septal ablation for hypertrophic obstructive cardiomyopathy

被引：1
作者：
Pérez, MJA [1 ]
Valenzuela, GD [1 ]
Blanes, JRG [1 ]
Sánchez, MDC [1 ]
Martínez, JAH [1 ]
Chavarri, MV [1 ]
机构：
[1] Univ Murcia, Hosp Virgen del la Arrixaca, Serv Cardiol, Murcia 30120, Spain
来源：
REVISTA ESPANOLA DE CARDIOLOGIA | 2005年 / 58卷 / 07期
关键词：
ablation; hypertrophic obstructive cardiomyopathy; complications;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We present a case of rupture of the balloon during percutaneous transluminal septal myocardial ablation with alcohol in a patient with hypertrophic obstructive cardiomyopathy. Rupture of the balloon caused reflux of alcohol into the left anterior descending artery. Angina, mild global hypokinesia of the left ventricle and advanced atrioventricular block were observed. Cardiac function recovered in a few minutes and peak creatine kinase was 526 U. Despite the restoration of sinus rhythm, there were episodes of complete atrioventricular block that made permanent pacemaker implantation necessary.
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收藏
页码：872 / 874
页数：3
相关论文
共 14 条
  • [1] Percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy: long term follow up of the first series of 25 patients
    Faber, L
    Meissner, A
    Ziemssen, P
    Seggewiss, H
    [J]. HEART, 2000, 83 (03) : 326 - 331
  • [2] Percutaneous transluminal septal myocardial ablation in hypertrophic obstructive cardiomyopathy - Results with respect to intraprocedural myocardial contrast echocardiography
    Faber, L
    Seggewiss, H
    Gleichmann, U
    [J]. CIRCULATION, 1998, 98 (22) : 2415 - 2421
  • [3] Acute and long-term results after transcoronary ablation of septal hypertrophy (TASH) - Catheter interventional treatment for hypertrophic obstructive cardiomyopathy
    Gietzen, FH
    Leuner, CJ
    Raute-Kreinsen, U
    Dellmann, A
    Hegselmann, J
    Strunk-Mueller, C
    Kuhn, HJ
    [J]. EUROPEAN HEART JOURNAL, 1999, 20 (18) : 1342 - 1354
  • [4] Delayed occurrence of complete heart block without warning after alcohol septal ablation for hypertrophic obstructive cardiomyopathy
    Kern, MJ
    Holmes, DG
    Simpson, C
    Bitar, SR
    Rajjoub, H
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2002, 56 (04) : 503 - 507
  • [5] Nonsurgical septal reduction for hypertrophic obstructive cardiomyopathy - Outcome in the first series of patients
    Knight, C
    Kurbaan, AS
    Seggewiss, H
    Henein, M
    Gunning, M
    Harrington, D
    Fassbender, D
    Gleichmann, U
    Sigwart, U
    [J]. CIRCULATION, 1997, 95 (08) : 2075 - 2081
  • [6] Assessment of permanent dual-chamber pacing as a treatment for drug-refractory symptomatic patients with obstructive hypertrophic cardiomyopathy - A randomized, double-blind, crossover study (M-PATHY)
    Maron, BJ
    Nishimura, RA
    McKenna, WJ
    Rakowski, H
    Josephson, ME
    Kieval, RS
    [J]. CIRCULATION, 1999, 99 (22) : 2927 - 2933
  • [7] Conduction system abnormalities in patients with obstructive hypertrophic cardiomyopathy following septal reduction interventions
    Qin, JX
    Shiota, T
    Lever, HM
    Asher, CR
    Popovic, ZB
    Greenberg, NL
    Agler, DA
    Drinko, JK
    Smedira, NG
    Tuzcu, EM
    Lytle, BW
    Thomas, JD
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2004, 93 (02) : 171 - 175
  • [8] Riera JC, 2003, REV ESP CARDIOL, V56, P303
  • [9] Long-term results of left ventricular myotomy and myectomy for obstructive hypertrophic cardiomyopathy
    Robbins, RC
    Stinson, EB
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1996, 111 (03) : 586 - 593
  • [10] Septal ablation in hypertrophic cardiomyopathy: Current status
    Seggewiss, H
    Rigopoulos, A
    [J]. REVISTA ESPANOLA DE CARDIOLOGIA, 2003, 56 (12): : 1153 - 1159
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