Infarction of the septomarginal band and tricuspid papillary muscle rupture related to alcohol septal ablation for hypertrophic cardiomyopathy |
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| Authors: | Munevver Sari MD Cemil Izgi MD Gokhan Kahveci MD Alev Kilicgedik MD Zubeyde Bayram MD Suzan Hatipoglu MD Selcuk Pala MD Nihal Ozdemir MD |
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| Institution: | 1. Cardiology Department, University of Health Sciences, Kartal Kosuyolu Education and Research Hospital, Istanbul, Turkey;2. Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, UK |
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| Abstract: | 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. |
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| Keywords: | alcohol septal ablation cardiac magnetic resonance imaging echocardiography hypertrophic cardiomyopathy tricuspid regurgitation |
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