Obstructive hypertrophic cardiomyopathy and aortic valve disease in elderly woman - a case for Cath lab or surgery?
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F17%3A00067366" target="_blank" >RIV/00159816:_____/17:00067366 - isvavai.cz</a>
Nalezeny alternativní kódy
RIV/00216224:14110/17:00098532
Výsledek na webu
<a href="http://dx.doi.org/10.1016/j.crvasa.2016.08.004" target="_blank" >http://dx.doi.org/10.1016/j.crvasa.2016.08.004</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.crvasa.2016.08.004" target="_blank" >10.1016/j.crvasa.2016.08.004</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Obstructive hypertrophic cardiomyopathy and aortic valve disease in elderly woman - a case for Cath lab or surgery?
Popis výsledku v původním jazyce
Aim: Hypertrophic cardiomyopathy (HCM) is a relatively common genetic cardiac disease (1: 500) that is largely heterogeneous in its presentation, prognosis and treatment strategies. As such it often represents a dilemma to primary care clinicians as well as cardiovascular specialists. With widening possibilities of the management of the disease it is important to bring relevant clinical cases, which can help to clarify often-difficult questions, which may arise. Methods/case presentation: We are reporting a case of 74-year-old woman with highly symptomatic obstructive hypertrophic cardiomyopathy (HOCM) in concomitance with mild and hemodynamically insignificant aortic valve steno-insufficiency with limiting symptoms refractory to maximal medical management, who was referred to our medical center for consideration of the optimal interventional treatment strategy. Results: The patient underwent alcohol septal ablation with good immediate, but suboptimal long-term clinical effect. Within 1 year, the initially insignificant aortic stenosis progressed together with regeneration of the septal hypertrophy, thus the treatment strategy followed by combined surgical septal myectomy and aortic valve replacement and eventually even mitral valve replacement due to intraoperative complication. The 1-year follow-up showed optimal therapeutic effect. In Europe, alcohol septal ablation became a preferred initial interventional method for symptomatic patients with HOCM, especially for elderly patients with comorbidities. This case illustrates the fact that surgical septal myectomy complemented by the repair or replacement of valves, may be, for selected patients, method of choice even in our country. (...)
Název v anglickém jazyce
Obstructive hypertrophic cardiomyopathy and aortic valve disease in elderly woman - a case for Cath lab or surgery?
Popis výsledku anglicky
Aim: Hypertrophic cardiomyopathy (HCM) is a relatively common genetic cardiac disease (1: 500) that is largely heterogeneous in its presentation, prognosis and treatment strategies. As such it often represents a dilemma to primary care clinicians as well as cardiovascular specialists. With widening possibilities of the management of the disease it is important to bring relevant clinical cases, which can help to clarify often-difficult questions, which may arise. Methods/case presentation: We are reporting a case of 74-year-old woman with highly symptomatic obstructive hypertrophic cardiomyopathy (HOCM) in concomitance with mild and hemodynamically insignificant aortic valve steno-insufficiency with limiting symptoms refractory to maximal medical management, who was referred to our medical center for consideration of the optimal interventional treatment strategy. Results: The patient underwent alcohol septal ablation with good immediate, but suboptimal long-term clinical effect. Within 1 year, the initially insignificant aortic stenosis progressed together with regeneration of the septal hypertrophy, thus the treatment strategy followed by combined surgical septal myectomy and aortic valve replacement and eventually even mitral valve replacement due to intraoperative complication. The 1-year follow-up showed optimal therapeutic effect. In Europe, alcohol septal ablation became a preferred initial interventional method for symptomatic patients with HOCM, especially for elderly patients with comorbidities. This case illustrates the fact that surgical septal myectomy complemented by the repair or replacement of valves, may be, for selected patients, method of choice even in our country. (...)
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
30201 - Cardiac and Cardiovascular systems
Návaznosti výsledku
Projekt
—
Návaznosti
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2017
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Cor et Vasa
ISSN
0010-8650
e-ISSN
—
Svazek periodika
59
Číslo periodika v rámci svazku
5
Stát vydavatele periodika
US - Spojené státy americké
Počet stran výsledku
6
Strana od-do
"E424"-"E429"
Kód UT WoS článku
000413964700003
EID výsledku v databázi Scopus
—