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Age and Ageing 2001; 30: 351-353
© 2001, British Geriatrics Society


Case report

Ethanol septal ablation for hypertrophic obstructive cardiomyopathy in a very old patient

Chi-Hang Lee, William Ng and Wing-Hing Chow

Department of Cardiology, Grantham Hospital, 125 Wong Chuk Hang Road, Aberdeen, Hong Kong

Background: a 90-year-old woman who had hypertrophic obstructive cardiomyopathy presented with drug-refractory heart failure.

Method: she successfully underwent transcoronary ethanol septal ablation under sedation.

Outcome: there was instantaneous improvement in left ventricular outflow tract gradient 6 months after discharge, and the symptoms of heart failure have resolved.

Keywords: ethanol septal ablation, hypertrophic obstructive cardiomyopathy, left ventricular outflow tract gradient


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