Does relief of outflow tract obstruction in patients with hypertrophic cardiomyopathy improve long-term survival? Implications for lowering the threshold for surgical myectomy and alcohol septal ablation

Naidu, Srihari S.; Panza, Julio A.; Spielvogel, David; Malekan, Ramin; Goldberg, Joshua; Aronow, Wilbert S.

doi:10.21037/atm.2016.12.47

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Septal Myectomy1

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“…This suggests a benefit of myectomy in decreasing the risk of arrhythmia, in addition to its benefit of reliving LVOT obstruction. This could be due to the improvement of coronary circulation and subsequently less risk of myocardial ischemia and arrythmia 19,31–33 .…”

Section: Septal Myectomymentioning

confidence: 99%

Surgical myectomy: Rationale and personalized technique

Kindi

Yacoub²

2018

gcsp

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Septal myectomy is currently the gold standard treatment for symptomatic patients with hypertrophic cardiomyopathy. The procedure needs to be tailored and performed in a personalized fashion, taking into consideration the anatomical spectrum of this disease. The procedure needs to address the various components that contribute to the clinical and pathological picture of this disease including, the fibrous trigones, accessory tissues, papillary muscles, mitral valve and myocardial bridges. The operation can be performed with very low mortality and morbidity in high-volume experienced centers with predictable excellent short and long-term outcomes. There is a need for broadening the experience of this procedure to the rest of the world and for future development of new enhanced precision imaging and surgical tools.

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Section: Septal Myectomymentioning

confidence: 99%