Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy: A case Report

AQM Reza, Nighat Islam, SU Talukdar, Aparajita Karim, Mahmood Hasan Khan, Poppy Bala, Shams Munwar, Tamzeed Ahmed, Ataher Ali, Kazi Atiqur Rahman, AHM Waliul islam, Abeeda Tasneem Reza

Alcohol septal ablation (ASA) has shown to be a safe and effective procedure for treatment of symptomatic
hypertrophic obstructive cardiomyopathy (HOCM) for more than 20 years with results similar to those
of surgical myectomy. The first septal branch of the left anterior descending artery (LAD) is located and
96% alcohol is instilled to induce an artificial myocardial infarction and necrosis at the base of the
hypertrophied septum. Now we present our first experience of a patient with HOCM with a very high left
ventricular outflow tract gradient who had successful alcohol septal ablation.