| Home | Bolesti | Dijagnostika | Lijekovi | Radovi | Novosti | Forum | Linkovi |
luk
Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

SURGICAL TREATMENT OF LVOT OBSTRUCTION IN YOUNG FEMALE PATIENT WITH HYPERTROPHIC OBSTRUCTIVE CARDIOMIOPATHY (HOCM).
N. Naser, V. Velebit, M. Bukša, M. Talirević1, A. Haračić and E. Raljević.
Clinic for Heart Diseases and Rheumatism1, Sarajevo, Hopital de la Tour2, Geneve, Bosnia and Herzegovina, Switzerland

Introduction: Patients with hypertrophic obstructive cardiomiopathy (HOCM) need beta-blockers therapy,but in some cases with LVOT gradient above 50mmhg the surgical treatment is indicated to reduce the outflow gradient. The aim of this paper is to present a patient with high degree of LVOT obstruction who underwent surgery and whose objective status became better and subjective symptoms disappeared. Case report: 24 years old female patient with nocturnal dyspnea,chest pain and fatigue,mesosystolic murmur was found above Erbs point. ECG showed left ventricular hypertrophy with ST segment and T wave abnormalities. Transthoracic echocardiography (TTE) revealed left ventricular hypertrophy-septum and anterolateral free wall,systolic anterior motion (SAM) of anterior leaflet of the mitrale valve,narrowing of the LVOT with peak gradient PG 135mmhg,MPG 69,6mmhg,moderate mitrale regurgitation.Myotomy-myectomy of interventricular septum was done. Postoperative echocardiography showed the site of myectomy (Scooped-out portion of ventricular septum) with residual SAM and LVOT PG 65,8mmhg ,MPG 29,1mmhg. Endomyocardial biopsy confirmed the diagnosis of primary HOCM. Conclusion: Echocardiography is the most reliable method in diagnosis of HOCM and assessment of LVOT gradients . It is quite sufficient method to access surgical treatment,when indicated.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
HealthBosnia.com - ima autorska prava na ovu stranu. Svako objavljivanje
teksta ili dijelova ovog teksta je moguće samo uz saglasnost HealthBosnia.com
© 1999-2001, by HealthBosnia.com, e-mail medmaster@koming.com. ALL RIGHTS RESERVED.