Contemporary Surgical Management of Hypertrophic Cardiomyopathy

Iatrogenic coronary artery fistula that developed during septal myectomy was detected intraoperatively through transesophageal echocardiography

“…In the management of obstructive hypertrophic cardiomyopathy (HOCM), septal myectomy (the Morrow procedure) is an effective treatment for patients with persistent symptoms despite concurrent pharmacological treatment [ 1 ]. Coronary artery fistula is a complication of this procedure, which may develop in 19–23% [ 2 , 3 ] of patients postoperatively.…”