[HSF] Intramyocardial LADs

[Michael Firstenberg]

I seem to be seeing more and more of these, they dive down deep into the LV
and finding them without ripping apart the heart is a real pain.  How do
others deal with these - particularly when the obstruction in distal to the
only part you can find?  I few that I have seen recently would have been a
disaster had I been trying to do the case off pump.

Very frustrating

-michael