3rd August 2020

A 13-year-old boy has deteriorated rapidly

A 13-year-old boy has deteriorated rapidly. He has end stage hypertrophic obstructive cardiomyopathy (HOCM) with left ventricular dilation and systolic dysfunction. He is on optimal medical therapy but is failing to improve. 

Which is the most appropriate management option? Select the SINGLE most appropriate option from the list below. Select ONE option only.