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Role of cardiac computed tomography in planning and evaluating percutaneous transluminal septal myocardial ablation for hypertrophic obstructive cardiomyopathy

Satoshi Okayama, MD, Shiro Uemura, MDCorresponding Author Informationemail address, Tsunenari Soeda, MD, Manabu Horii, MD, Yoshihiko Saito, MD, PhD

Received 22 June 2009; accepted 14 October 2009. published online 22 October 2009.
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Abstract 

A 72-year-old woman with hypertrophic obstructive cardiomyopathy underwent coronary computed tomography (CT) angiography that showed perfusion of the hypertrophied interventricular septum by the first septal artery. One month after percutaneous transluminal septal myocardial ablation, repeat CT perfusion imaging identified a transmural myocardial infarction in the basal hypertrophic interventricular septum which clinically correlated with a reduction in left ventricular outflow tract obstruction.

First Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522 Japan

Corresponding Author InformationCorresponding author.

 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(09)00510-3

doi:10.1016/j.jcct.2009.10.004