Infarction of the septomarginal band and tricuspid papillary muscle rupture related to alcohol septal ablation for hypertrophic cardiomyopathy.
Munevver SariCemil IzgiGokhan KahveciAlev KılıcgedikZubeyde BayramSuzan HatipogluSelcuk PalaGül Nihal ÖzdemirPublished in: Echocardiography (Mount Kisco, N.Y.) (2018)
We presented a 77-year-old man with hypertrophic obstructive cardiomyopathy applied with flail tricuspid leaflet and severe tricuspid regurgitation leading to right heart failure 2 months after the failed septal ablation. The ruptured anterior tricuspid papillary muscle resulted from infarction of the base of anterior papillary muscle of the right ventricle (RV) confirmed by magnetic resonance imaging. As the septomarginal band is frequently lit up by intracoronary contrast that particular attention should be paid to the RV papillary muscles. And, if the papillary muscles or the RV free wall is brightened, then the use of that septal artery should be avoided.
Keyphrases
- hypertrophic cardiomyopathy
- mitral valve
- aortic valve
- left ventricular
- clear cell
- aortic stenosis
- mycobacterium tuberculosis
- heart failure
- transcatheter aortic valve replacement
- magnetic resonance imaging
- skeletal muscle
- cardiac resynchronization therapy
- magnetic resonance
- ejection fraction
- coronary artery disease
- contrast enhanced
- computed tomography
- drug induced
- alcohol consumption
- percutaneous coronary intervention
- st elevation myocardial infarction
- acute coronary syndrome
- acute heart failure