Exposure of the basal and midventricular septum through the aortic root to relieve obstruction in hypertrophic cardiomyopathy can be challenging. Inadequate myectomy will lead to persistent symptoms and disability. Adequate exposure of the obstructive left ventricular septum is of paramount importance in primary and redo myectomy. In selected patients, either at primary myectomy or at redo myectomy, septal excision can be approached through a left ventricular transapical incision when transaortic exposure is inadequate.
|Number of pages
|World Journal for Pediatric and Congenital Heart Surgery
|Published - Jul 21 2015
- hypertrophic cardiomyopathy
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Cardiology and Cardiovascular Medicine