Permanent Pacing in Patients with Recurrence of Symptoms and Relapse of Left Ventricular Obstruction at Midcavity Level after Alcohol Septal Ablation
Figure 2
Patient N1 presented with syncope and 50 mmHg gradient at midcavity level 2 years after ASA. LV-gram before ASA (a) shows hyperkinetic LV and typical SAM (arrow). LV-gram at 26-month followup (b) is remarkable for the typical dumbbell shape in systole with formation of distal akinetic camera (thick arrow).