Septal alcohol ablation and Heyde's syndrome revisited
Key result
Septal alcohol ablation reduces LVOTO and eliminates recurrent bleeding in a patient with HOCM.
- n=1
Why the study?
The relationship between septal alcohol ablation and resolution of occult gastrointestinal bleeding resembling Heyde's syndrome in hypertrophic obstructive cardiomyopathy was not well described.
Does septal alcohol ablation reduce left ventricular outflow tract obstruction and eliminate recurrent bleeding in a patient with hypertrophic obstructive cardiomyopathy and occult blood loss?
Design
Case report
Authors
Discussion
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Member takes
Implication
May support ablation for bleeding in select HOCM cases; leaves open confirmation beyond this case report.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
Does septal alcohol ablation reduce left ventricular outflow tract obstruction and eliminate recurrent bleeding in a patient with hypertrophic obstructive cardiomyopathy and occult blood loss?
P
Population
A 57-year-old male with hypertrophic obstructive cardiomyopathy and occult blood loss.
I
Intervention
Septal alcohol ablation
O
Outcome
Reduction in left ventricular outflow tract obstruction and elimination of recurrent bleeding
Septal alcohol ablation may resolve occult gastrointestinal bleeding in patients with hypertrophic obstructive cardiomyopathy, analogous to the resolution seen in Heyde's syndrome after aortic valve surgery.
Cite This Study
Hansen et al. (2003) conducted a case report in Hypertrophic obstructive cardiomyopathy and occult blood loss (n=1). Septal alcohol ablation was evaluated on Left ventricular outflow tract obstruction and recurrent bleeding. Septal alcohol ablation reduced left ventricular outflow tract obstruction and eliminated recurrent bleeding in a patient with hypertrophic obstructive cardiomyopathy and occult blood loss.