TY - JOUR
T1 - Treatment Strategies for Hypertrophic Cardiomyopathy
T2 - Surgical
AU - Schaff, Hartzell V.
AU - Juarez-Casso, Fernando M.
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2024/2/1
Y1 - 2024/2/1
N2 - Septal myectomy is a well-established procedure for septal reduction in patients with obstructive hypertrophic cardiomyopathy (HCM) who have not responded to medical treatment. The surgical approach is tailored to the unique pathophysiology and septal morphology of the patient. Extended transaortic myectomy is the standard procedure for patients with isolated subaortic obstruction, the most common type of HCM. However, transapical myectomy is a useful adjunct for patients with long or midventricular obstruction and is our preferred technique for ventricular enlargement in patients with severe symptomatic diastolic heart failure because of extensive apical hypertrophy. Septal myectomy provides excellent postoperative outcomes as regards symptom relief and functional improvement, and operative morbidity and mortality rates are low in experienced centers. This article summarizes our current surgical management of patients with HCM and details operative methods and outcomes.
AB - Septal myectomy is a well-established procedure for septal reduction in patients with obstructive hypertrophic cardiomyopathy (HCM) who have not responded to medical treatment. The surgical approach is tailored to the unique pathophysiology and septal morphology of the patient. Extended transaortic myectomy is the standard procedure for patients with isolated subaortic obstruction, the most common type of HCM. However, transapical myectomy is a useful adjunct for patients with long or midventricular obstruction and is our preferred technique for ventricular enlargement in patients with severe symptomatic diastolic heart failure because of extensive apical hypertrophy. Septal myectomy provides excellent postoperative outcomes as regards symptom relief and functional improvement, and operative morbidity and mortality rates are low in experienced centers. This article summarizes our current surgical management of patients with HCM and details operative methods and outcomes.
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U2 - 10.1016/j.amjcard.2023.10.053
DO - 10.1016/j.amjcard.2023.10.053
M3 - Article
C2 - 38368037
AN - SCOPUS:85184798748
SN - 0002-9149
VL - 212
SP - S53-S63
JO - American Journal of Cardiology
JF - American Journal of Cardiology
ER -