Myocardial ischemia with left ventricular outflow obstruction

<p>Abstract</p> <p>We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive ca...

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Bibliographic Details
Main Authors: Coskun Kasim O, Friedrich Martin, Zenker Dieter, Schmitto Jan D, Bireta Christian, Popov Aron F, Seipelt Ralf, Hanekop Gerd G, Schoendube Friedrich A
Format: Article
Language:English
Published: BMC 2009-09-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/4/1/51
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Summary:<p>Abstract</p> <p>We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could be either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction.</p>
ISSN:1749-8090