Extended Myectomy-Myotomy

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Abstract: Myectomy and Myotomy In Situ for Benign Essential Blepharospasm

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Septal myectomy and myotomy attenuate left ventricular hyper-contractility in a child with hypertrophic obstructive cardiomyopathy.

Septal hyper-contractility is thought to be the principal cause of significant left ventricular outflow tract obstruction (LVOT) and systolic anterior motion (SAM) of the mitral valve by making the distance between the mitral valve and papillary muscle shorter. A seven-year-old patient with severe hypertrophic obstructive cardiomyopathy underwent direct interventricular septal myectomy/myotomy ...

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Severe mitral stenosis in the long-term evolution of myotomy-myectomy-septal resection.

258 ment and are indicated for more aggressive therapies, such as myotomy-myectomy-septal resection, dual-chamber pacemaker implantation, alcohol injection in the septal artery, defibrillator implantation (used in cases at high risk for sudden death), and even heart transplantation 3,4. Mitral stenosis is usually of rheumatic origin, occurring mainly among women (approximately 66% of the cases)...

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Functional results after extended myotomy for diffuse oesophageal spasm.

BACKGROUND The role of surgery in the management of patients with diffuse oesophageal spasm (DOS) remains controversial. The aim of this study was to assess functional results after extended myotomy for DOS. METHODS This prospective study evaluated 20 patients who had extended myotomy (14 cm on the oesophagus and 2 cm below the oesophagogastric junction) with anterior fundoplication via a lap...

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Improved outcome after extended gastric myotomy for achalasia.

HYPOTHESIS There is general agreement that a Heller myotomy should extend 6 to 7 cm above the gastroesophageal junction. Results of most previous studies have recommended that the myotomy extend 1 to 1.5 cm below the gastroesophageal junction. We speculated that the effectiveness of the operation could be improved if a longer, 3-cm myotomy was carried out below the gastroesophageal junction, as...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1993

ISSN: 0003-4932

DOI: 10.1097/00000658-199310000-00010