Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report

Key Clinical Message Anomalous insertion of chordae is a rare disease that could be associated with hypertrophic obstructive cardiomyopathy (HOCM), but clinical and echocardiographic diagnoses tend to be delayed. Alcohol septal ablation has emerged as an alternative to surgical myomectomy in HOCM. W...

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Main Authors: Rania Hammami, Amine Kammoun, Majed Hassine, Tarek Ellouze, Rania Gargouri, Leila Abid
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7928
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author Rania Hammami
Amine Kammoun
Majed Hassine
Tarek Ellouze
Rania Gargouri
Leila Abid
author_facet Rania Hammami
Amine Kammoun
Majed Hassine
Tarek Ellouze
Rania Gargouri
Leila Abid
author_sort Rania Hammami
collection DOAJ
description Key Clinical Message Anomalous insertion of chordae is a rare disease that could be associated with hypertrophic obstructive cardiomyopathy (HOCM), but clinical and echocardiographic diagnoses tend to be delayed. Alcohol septal ablation has emerged as an alternative to surgical myomectomy in HOCM. When a patient showed an anomalous insertion of chordae, physicians generally opt for surgery and not alcohol septal ablation. In this report, we present the case of a lady, with symptomatic HOCM associated with a chord inserted on the left ventricular outflow tract. We succeeded to relieve obstruction by alcohol septal ablation without the need for surgery.
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spelling doaj.art-cb2bcce70fff493aad18be09535d1b712023-10-20T06:16:22ZengWileyClinical Case Reports2050-09042023-09-01119n/an/a10.1002/ccr3.7928Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case reportRania Hammami0Amine Kammoun1Majed Hassine2Tarek Ellouze3Rania Gargouri4Leila Abid5Cardiology Department, Faculty of Medicine University of Sfax Sfax TunisiaCardiology Department, Faculty of Medicine University of Sfax Sfax TunisiaCardiology A Department Fattouma Bourguiba University Hospital, Cardiothrombosis Research Laboratory (LR12SP16) University of Monastir Monastir TunisiaCardiology Department, Faculty of Medicine University of Sfax Sfax TunisiaCardiology Department, Faculty of Medicine University of Sfax Sfax TunisiaCardiology Department, Faculty of Medicine University of Sfax Sfax TunisiaKey Clinical Message Anomalous insertion of chordae is a rare disease that could be associated with hypertrophic obstructive cardiomyopathy (HOCM), but clinical and echocardiographic diagnoses tend to be delayed. Alcohol septal ablation has emerged as an alternative to surgical myomectomy in HOCM. When a patient showed an anomalous insertion of chordae, physicians generally opt for surgery and not alcohol septal ablation. In this report, we present the case of a lady, with symptomatic HOCM associated with a chord inserted on the left ventricular outflow tract. We succeeded to relieve obstruction by alcohol septal ablation without the need for surgery.https://doi.org/10.1002/ccr3.7928alcohol septal ablationanomalous chordae insertioncase reporthypertrophic obstructive cardiomyopathy
spellingShingle Rania Hammami
Amine Kammoun
Majed Hassine
Tarek Ellouze
Rania Gargouri
Leila Abid
Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
Clinical Case Reports
alcohol septal ablation
anomalous chordae insertion
case report
hypertrophic obstructive cardiomyopathy
title Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
title_full Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
title_fullStr Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
title_full_unstemmed Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
title_short Hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion: Surgery or alcohol septal ablation? A case report
title_sort hypertrophic obstructive cardiomyopathy with left ventricle outflow tract chordae insertion surgery or alcohol septal ablation a case report
topic alcohol septal ablation
anomalous chordae insertion
case report
hypertrophic obstructive cardiomyopathy
url https://doi.org/10.1002/ccr3.7928
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