Supraventricular tachycardia and ventricular septal ablation in
hypertrophic obstructive cardiomyopathy: a case report
Abstract
A case of hypertrophic obstructive cardiomyopathy complicated with
paroxysmal supraventricular tachycardia is reported in this paper. The
main clinical manifestations of the patient were shortness of breath
after activity, palpitation that appeared gradually and transient
amaurosis. There was no significant relief of symptoms after the
application of β- blocker and other drugs, and color doppler
echocardiography indicated that the pressure difference of left
ventricular outflow tract increased gradually. The patient was treated
with supraventricular tachycardia radiofrequency ablation combined with
ventricular septal radiofrequency ablation under the guidance of
intracardiac ultrasound.The symptoms of palpitation, shortness of breath
and amaurosis disappeared, and the quality of life and exercise
endurance of the patient were significantly improved when the first
follow-up at 1 month was performed after the operation. The purpose of
this case is to provide ideas for the end point, energy selection and
prognosis criteria of ventricular septal ablation for hypertrophic
obstructive cardiomyopathy by analyzing the clinical and surgical data
of the patient.