Transaortic septal myectomy: techniques and pitfalls

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A retrospective clinical study of transaortic extended septal myectomy for obstructive hypertrophic cardiomyopathy in China

OBJECTIVES The aim was to assess the early and mid-term clinical effects of transaortic extended septal myectomy (TAESM) on obstructive hypertrophic cardiomyopathy (HCM) in China. METHODS Ninety-three consecutive patients [57 men; mean age 45.8 ± 13.4 (11-74) years] with obstructive HCM underwent TAESM in Fuwai hospital. Their clinical data were analysed retrospectively. All the patients had ...

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Septal myectomy after failed septal alcohol ablation.

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Percutaneous Septal Alcohol Ablation after Surgical Myectomy

Hypertrophic obstructive cardiomyopathy (HOCM) is a primary, usually familial and genetically fi xed myocardial hypertrophy, with dynamic left ventricular outfl ow tract obstruction. An alternative to surgical myectomy in the treatment of severe, drug refractory, HOCM is percutaneous transluminal septal myocardial ablation (PTSMA). We report a case of  year old female patient who had the fi r...

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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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Introduction In this report, we describe a case of an 18-year-old woman with massive septal hypertrophic cardiomyopathy (HCM) without left ventricular outflow tract (LVOT) obstruction that was discovered after resuscitation from a witnessed cardiac arrest. HCM is the most common genetic cardiomyopathy, with an incidence of 0.2%. It is associated with a 1% annual rate of sudden cardiac death (SC...

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ژورنال

عنوان ژورنال: Annals of Cardiothoracic Surgery

سال: 2017

ISSN: 2225-319X,2304-1021

DOI: 10.21037/acs.2017.07.08