Comparison of Roles between Alcohol Ablation and Surgical Myectomy in Hypertrophic Cardiomyopathy

  • Nico Kusuma Faculty of Medicine Universitas Katolik Atmajaya, Jakarta.
  • Raymond Pranata Faculty of Medicine Universitas Pelita Harapan, Tangerang.
  • Rachel Vania Faculty of Medicine Universitas Pelita Harapan, Tangerang.
  • Bambang Budi Siswanto Faculty of Medicine Universitas Indonesia, Rumah Sakit Pusat Jantung Nasional Harapan Kita, Jakarta.
Keywords: hypertrophic cardiomyopathy, alcohol septal ablation, surgical myectomy

Abstract

Hypertrophic cardiomyopathy is a genetic myocardial disease that may extend to leftventricular outflow tract obstruction. Alcohol septal ablation (ASA) is preferred for itsnon-surgical, agreed as the safest way for advanced aged, or those with high risk for surgicalprocedure or comorbidities. On the other hand, surgical myectomy (SM) remainsas gold standard, established to be the most consistent to achieve optimal hemodynamicand spare longevity, regardless selective use. This article reviews the advantages anddisadvantages between SM and ASA ablation from its outcome, mortality, pre- and postprocedural,and patient’s profile selection.

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Published
2017-06-30

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How to Cite
Kusuma, N., Pranata, R., Vania, R., & Siswanto, B. (2017). Comparison of Roles between Alcohol Ablation and Surgical Myectomy in Hypertrophic Cardiomyopathy. Indonesian Journal of Cardiology, 38(2), 99-108. https://doi.org/10.30701/ijc.v38i2.733
Section
Review Article