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Amelioration of hypertrophic cardiomyopathy using nonsurgical septal ablation in a cirrhotic patient prior to liver transplantation.
Authors:Anil S Paramesh  Ralph B Fairchild  Theresa M Quinn  Fred Leya  Magdalene George  David H Van Thiel
Affiliation:Division of Abdominal Organ Transplantation, St. Luke's Medical Center, Aurora Health Care, Milwaukee, WI 53215, USA. anil.paramesh@aurora.org
Abstract:A 53-year-old male with hepatitis C cirrhosis, who had been refused liver transplantation because of hypertrophic cardiomyopathy (HC), underwent nonsurgical septal ablation using alcohol with resolution of his ventricular outflow obstruction. This patient was able to subsequently undergo a successful deceased donor liver transplantation. This is the first reported case of alcohol induced septal ablation being performed in a cirrhotic patient with HC. Such nonsurgical procedures may be attractive in cirrhotic patients who are refused access to liver transplantation because of high surgical risk.
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