Surgical Treatment for Hypertrophic Obstructive Cardiomyopathy with Concomitant Mitral Valve Abnormalities: A Cohort of 26 Cases

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Percutaneous versus surgical treatment for patients with hypertrophic obstructive cardiomyopathy and enlarged anterior mitral valve leaflets.

BACKGROUND The purpose of this study was to compare percutaneous transluminal septal myocardial ablation (PTSMA) and septal myectomy combined with mitral leaflet extension (MLE) in symptomatic hypertrophic obstructive cardiomyopathy patients with an enlarged anterior mitral valve leaflet (AMVL). Both PTSMA and myectomy reduce septal thickness and left ventricular outflow tract (LVOT) gradient; ...

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The Mitral Valve in Obstructive Hypertrophic Cardiomyopathy

Fro Su St. an Yo rel Ma Mitral valve abnormalities were not part of modern pathological and clinical descriptions of hypertrophic cardiomyopathy in the 1950s, which focused on left ventricular (LV) hypertrophy and myocyte fiber disarray. Although systolic anterior motion (SAM) of the mitral valve was discovered as the cause of LV outflow tract obstruction in the M-mode echocardiography era, in ...

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Outcomes of an extended Morrow procedure without a concomitant mitral valve procedure for hypertrophic obstructive cardiomyopathy

The indications for a concomitant mitral valve (MV) procedure remain controversial for patients with hypertrophic obstructive cardiomyopathy (HOCM). According to previous studies, a concomitant MV surgery was required in 11-20% of inpatient operations. Thus, we aimed to study the outcomes of an extended Morrow procedure without a concomitant MV procedure for HOCM patients who had no intrinsic a...

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[Surgical treatment for hypertrophic obstructive cardiomyopathy].

INTRODUCTION AND OBJECTIVES Five percent of the patients with hypertrophic obstructive cardiomyopathy (HOCM) have symptoms unresponsive to medical treatment and are candidates for invasive therapy. The objective of this study was to analyze our results with surgical treatment of HOCM during the last 10 years. PATIENTS AND METHOD Between July 1993 and January 2004 26 patients with HOCM refract...

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Surgical treatment of hypertrophic obstructive cardiomyopathy.

The complexity of the anatomical substrate that produces obstruction in hypertrophic obstructive cardiomyopathy (HOCM) is reflected by the variety of different surgical strategies that have been reported during the past 30 years[1–12]. These include incision (myotomy)[1] and excision (myectomy)[2,3] of bulging myocardial tissue from the basal septum, in some series together with plication[9] or...

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ژورنال

عنوان ژورنال: The Heart Surgery Forum

سال: 2018

ISSN: 1522-6662,1098-3511

DOI: 10.1532/hsf.2013