763-6 Septal Myectomy for Hypertrophic Cardiomyopathy: Echocardiographic Predictors of Postoperative Outcome

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Septal myectomy for obstructive hypertrophic cardiomyopathy.

Septal myectomy effectively relieves left ventricular outflow tract obstruction (LVOTO) and cardiac symptoms in both adults and children with obstructive hypertrophic cardiomyopathy (HCM). Abnormal attachments of the papillary muscles and chordae and other cardiac lesions can be repaired at the same time. Early mortality for isolated septal myectomy in both children and adults is low (0% to 2.5...

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Bimanual examination for septal myectomy for hypertrophic cardiomyopathy.

OBJECTIVES Left ventricular septal myectomy is the therapeutic 'gold standard' for patients with obstructive hypertrophic cardiomyopathy whose symptoms are refractory to medical therapy. We describe our initial clinical experience with a new surgical technique for septal myectomy utilizing the 'bimanual examination' in order to more reliably complete extended septal myectomy during cardioplegic...

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Does septal thickness influence outcome of myectomy for hypertrophic obstructive cardiomyopathy?

OBJECTIVES Patients with hypertrophic obstructive cardiomyopathy and basal septal thickness <18 mm are often considered unsuitable candidates for myectomy. Mitral valve (MV) replacement is frequently performed instead. We aimed to determine whether septal thickness affects outcomes and adequacy of myectomy. METHODS Clinical and echocardiographic data were reviewed for 1486 consecutive adult p...

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The prognostic impact of septal myectomy in obstructive hypertrophic cardiomyopathy.

long-standing problem facing clinicians caring for atients with hypertrophic cardiomyopathy (HCM) is he scarcity of robust clinical evidence on which to base herapeutic decisions. For most interventions, there are o randomized controlled trial data. Rather, much of the iterature consists of retrospective observational studies ith historical controls. Individual referral centers with pecialist i...

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Outcome of patients with hypertrophic obstructive cardiomyopathy after percutaneous transluminal septal myocardial ablation and septal myectomy surgery.

OBJECTIVES This study was conducted to evaluate follow-up results in patients with hypertrophic obstructive cardiomyopathy (HOCM) who underwent either percutaneous transluminal septal myocardial ablation (PTSMA) or septal myectomy. BACKGROUND Controversy exists with regard to these two forms of treatment for patients with HOCM. METHODS Of 51 patients with HOCM treated, 25 were treated by PT...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1995

ISSN: 0735-1097

DOI: 10.1016/0735-1097(95)92594-u