Transaortic septal myectomy for obstructive hypertrophic cardiomyopathy

Anita Nguyen, Hartzell V Schaff

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Transaortic extended septal myectomy is the best treatment option for patients with obstructive hypertrophic cardiomyopathy whose symptoms are refractory to medical management. In this article, we describe our operative technique of transaortic septal myectomy, which relieves subaortic left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve associated with hypertrophic cardiomyopathy. In experienced centers, surgical outcomes are excellent (operative mortality <1%) and long-term symptomatic relief is achieved in the majority of patients.

Original languageEnglish (US)
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Hypertrophic Cardiomyopathy
Ventricular Outflow Obstruction
Mitral Valve
Mortality
Therapeutics

Keywords

  • hypertrophic cardiomyopathy
  • transaortic septal myectomy
  • transapical myectomy

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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AB - Transaortic extended septal myectomy is the best treatment option for patients with obstructive hypertrophic cardiomyopathy whose symptoms are refractory to medical management. In this article, we describe our operative technique of transaortic septal myectomy, which relieves subaortic left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve associated with hypertrophic cardiomyopathy. In experienced centers, surgical outcomes are excellent (operative mortality <1%) and long-term symptomatic relief is achieved in the majority of patients.

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KW - transapical myectomy

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