A 32-year-old man with hypertrophic obstructive cardiomyopathy and ventricular fibrillation was successfully treated with surgical myectomy, LAD unroofing, and excision of a subaortic membrane.
Case Report (n=1)
No
This case highlights the potential for myocardial ischemia and ventricular fibrillation in a patient with HOCM and myocardial bridging treated with DDD pacing with short AV delay.
We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could be either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction.
Popov et al. (Thu,) conducted a case report in Hypertrophic obstructive cardiomyopathy (HOCM) (n=1). Surgical myectomy, LAD unroofing, and excision of subaortic membrane was evaluated on Survival and symptom relief. A 32-year-old man with hypertrophic obstructive cardiomyopathy and ventricular fibrillation was successfully treated with surgical myectomy, LAD unroofing, and excision of a subaortic membrane.
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