Echocardiography-guided ethanol septal reduction for hypertrophic obstructive cardiomyopathy.

  title={Echocardiography-guided ethanol septal reduction for hypertrophic obstructive cardiomyopathy.},
  author={Nasser M. Lakkis and Sherif F. Nagueh and Neal S. Kleiman and Donna M. Killip and Zheng Xian He and Mario S. Verani and Robert Roberts and William H. Spencer},
  volume={98 17},
BACKGROUND Left ventricular outflow tract (LVOT) obstruction is frequently responsible for symptoms in hypertrophic obstructive cardiomyopathy (HOCM). Medical therapy is often not sufficient to control these symptoms, and surgical myotomy-myomectomy is required. METHODS AND RESULTS We enrolled 33 symptomatic patients with HOCM and obstruction (>/=40 mm Hg gradient at rest or >/=60 mm Hg dobutamine-provoked). By contrast echocardiography, the bulging septum was localized and infarcted by… CONTINUE READING