Dear Mike,
The procedure you are referring to is called
septalUltrasound, ventricular septal defect - heartbeat
Ventricular septal defect ablation. A
catheterBiopsy catheter
Bladder catheterization, female
Bladder catheterization, male
Cardiac catheterization
External incontinence devices
Left heart catheterization
Left heart ventricular angiography
Urinary catheters
Urine culture - catheterized specimen (tiny tube) is threaded through the leg to the heart and the blood vessels that supply the thickened heart muscle are identified and then closed off with a solution of alcohol. This results in a thinning of that particular area of the heart. Not all patients are eligible for this procedure and there are benefits and risks to the procedure. It is still currently experimental and I couldn't tell you when it will be considered "standard care".
Other treatments include medicines such as beta blockers and calcium channel blockers, are often given to attempt to decrease the workload of the heart. Surgery may be recommended in patients with very high
pressurePressure ulcer gradients in the heart. In a septal myectomy the surgeon goes into the heart and removes part of the muscle that is obstructing the blood outflow.
If you are not already seeing a specialist in HOCM I would recommend you seek one out. Dr. Harry Lever here is a world expert in this condition and I would highly recommend him if you wish to come to Cleveland.
Additional web sites with information about HOCM are listed below.
http://www.americanheart.org/Heart_and_Stroke_A_Z_Guide/cmyopa.html
HOCM Support group
http://www.kanter.com/hcm/
National Organization for rare diseases
http://www.rarediseases.org/
HOCM of Canada
http://www.cadvision.com/hcmac/hcmac.html
Mayo Clinic HOCM Clinic
http://www.mayo.edu/cv/wwwpg_cv/hocm_cln/hocm.htm
Article on septal ablation
http://www-east.elsevier.com/jac/3102/jac5431fla.htm
More info
http://www.arrhythmia.com/patient/other/HCM.html
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.