Key result
Alcohol septal ablation successfully reduced the LVOT gradient from 80-110 mmHg to 32 mmHg, resolving acute lung edema and allowing extubation in a patient with HOCM.
Why the study?
Does alcohol septal ablation improve respiratory failure in a patient with HOCM and refractory lung oedema?
Case Report (n=1)
No
Does alcohol septal ablation improve respiratory failure in a patient with HOCM and refractory lung oedema?
Answers are grounded in this paper and cite their sources.
Alcohol septal ablation may provide immediate relief for HOCM patients presenting with severe complications like refractory lung edema and respiratory failure.
Hypertrophic Obstructive Cardiomyopathy (HOCM) prevalence is about 1 among 500 population. It is caused by genetic malformation. Dyspnoe, angina pectoris and syncope are clinical manisfestation. Pharmacological and non-pharmacological treatments can be performed to relieve the obstructive symptoms. Recently alcohol septal ablation has been proven improve haemodynamic and functional status.We report a case of HOCM patient with refractory lung oedema and intubated due to respiratory failure that was immediatelly improved afterseptal ablation.
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Endang et al. (2013) conducted a case report in Hypertrophic Obstructive Cardiomyopathy (HOCM) with respiratory failure (n=1). Alcohol septal ablation was evaluated on Reduction in left ventricular outflow tract (LVOT) gradient and clinical improvement. Alcohol septal ablation successfully reduced the LVOT gradient from 80-110 mmHg to 32 mmHg, resolving acute lung edema and allowing extubation in a patient with HOCM.
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