Two Hearts at Risk: Emergency Alcohol Septal Ablation in a Pregnant Woman With Decompensated HOCM

Weng-Tein Gi; Ali Amr; Farbod Sedaghat-Hamedani; Elham Kayvanpour; Isabell Mohr; Manuela Meder; Omid Shirvani Samani; Herbert Fluhr; Hugo A Katus; Benjamin Meder

doi:10.1016/j.jaccas.2019.11.053

Two Hearts at Risk: Emergency Alcohol Septal Ablation in a Pregnant Woman With Decompensated HOCM

JACC Case Rep. 2020 Jan 15;2(1):139-144. doi: 10.1016/j.jaccas.2019.11.053. eCollection 2020 Jan.

Authors

Weng-Tein Gi^{1

2}, Ali Amr^{1

2}, Farbod Sedaghat-Hamedani^{1

2}, Elham Kayvanpour^{1

2}, Isabell Mohr¹, Manuela Meder¹, Omid Shirvani Samani^{1

2}, Herbert Fluhr³, Hugo A Katus^{1

2}, Benjamin Meder^{1

2

4}

Affiliations

¹ Institute for Cardiomyopathy, Department of Medicine III, University of Heidelberg, Heidelberg, Germany.
² DZHK (German Centre for Cardiovascular Research), Heidelberg/Mannheim, Germany.
³ Department of Obstetrics and Gynecology, Heidelberg University Hospital, Heidelberg, Germany.
⁴ Department of Genetics, Stanford University, Stanford, California.

Abstract

Hypertrophic obstructive cardiomyopathy (HOCM) increases the risk for mother and fetus during pregnancy. Alcohol septal ablation (ASA) is an established procedure in nonpregnant patients with HOCM. In this report, we present a case of a 29-year-old woman in her 29th gestational week with decompensated HOCM undergoing a successful ASA. (Level of Difficulty: Advanced.).

Keywords: ASA, alcohol septal ablation / transcoronary ablation of septal hypertrophy; HCM, hypertrophic cardiomyopathy; HOCM, hypertrophic obstructive cardiomyopathy; IVS, interventricular septum; LV, left ventricle; LVOT, left ventricular outflow tract; LVOTO, left ventricular outflow tract obstruction; SAM, systolic anterior motion; alcohol septal ablation; decompensation; hypertrophic obstructive cardiomyopathy; pregnancy.

Publication types

Case Reports