TY - JOUR
T1 - Transaortic septal myectomy
T2 - Techniques and pitfalls
AU - Ralph-Edwards, Anthony
AU - Vanderlaan, Rachel D.
AU - Bajona, Pietro
N1 - Publisher Copyright:
© Annals of Cardiothoracic Surgery.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Hypertrophic cardiomyopathy (HCM) is the most common congenital cardiac disease, affecting up to 1 in 200 individuals. When it causes left ventricular outflow tract (LVOT) obstruction, treatment is indicated to reduce symptoms and the risk of sudden cardiac death. Pharmacologic therapy is the first line treatment, however if it fails, surgical myectomy or percutaneous ablation of the hypertrophic myocardium are the standard therapies to eliminate subaortic obstruction. Both surgical myectomy and percutaneous ablation have been demonstrated as safe and effective treatments; however, myectomy is the gold standard with a significantly lower complication rate and more complete and longstanding reduction of LVOT obstruction.
AB - Hypertrophic cardiomyopathy (HCM) is the most common congenital cardiac disease, affecting up to 1 in 200 individuals. When it causes left ventricular outflow tract (LVOT) obstruction, treatment is indicated to reduce symptoms and the risk of sudden cardiac death. Pharmacologic therapy is the first line treatment, however if it fails, surgical myectomy or percutaneous ablation of the hypertrophic myocardium are the standard therapies to eliminate subaortic obstruction. Both surgical myectomy and percutaneous ablation have been demonstrated as safe and effective treatments; however, myectomy is the gold standard with a significantly lower complication rate and more complete and longstanding reduction of LVOT obstruction.
KW - Hypertrophic obstructive cardiomyopathy
KW - Septal myectomy
KW - Surgical techn
UR - http://www.scopus.com/inward/record.url?scp=85026514080&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85026514080&partnerID=8YFLogxK
U2 - 10.21037/acs.2017.07.08
DO - 10.21037/acs.2017.07.08
M3 - Article
C2 - 28944183
AN - SCOPUS:85026514080
SN - 2225-319X
VL - 6
SP - 410
EP - 415
JO - Annals of Cardiothoracic Surgery
JF - Annals of Cardiothoracic Surgery
IS - 4
ER -