Modified septal myectomy for small patients with hypertrophic obstructive cardiomyopathy

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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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Comparison of Modified With Classic Morrow Septal Myectomy in Treating Hypertrophic Obstructive Cardiomyopathy

This study aimed to compare the efficacy and safety of the classic Morrow septal myectomy with the modified procedure in treating hypertrophic obstructive cardiomyopathy (HOCM).A retrospective study was conducted to compare the outcomes of classic with modified Morrow septal myectomy in 42 patients treated from January 2005 to July 2011. Preoperative and postoperative ventricular septal thickne...

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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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Concomitant ablation for atrial fibrillation during septal myectomy in patients with hypertrophic obstructive cardiomyopathy

OBJECTIVE The appearance of atrial fibrillation is associated with significant clinical deterioration in patients with obstructive hypertrophic cardiomyopathy; therefore, maintenance of sinus rhythm is desirable. Guidelines and most articles have reported the results of catheter ablation and pharmacologic atrial fibrillation treatment; nevertheless, data regarding concomitant procedures during ...

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Combined anterior mitral valve leaflet retention plasty and septal myectomy in patients with hypertrophic obstructive cardiomyopathy.

OBJECTIVES Septal myectomy is the treatment of choice for patients with hypertrophic obstructive cardiomyopathy (HOCM) with significant left-ventricular outflow tract (LVOT) obstruction. In some HOCM patients, however, systolic anterior motion (SAM) of the anterior mitral leaflet significantly contributes to LVOT obstruction, resulting in mitral regurgitation and insufficient release of the obs...

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ژورنال

عنوان ژورنال: Interactive Cardiovascular and Thoracic Surgery

سال: 2003

ISSN: 1569-9293

DOI: 10.1016/s1569-9293(03)00176-2