Reoperative Myectomy via the Left Ventricular Apex in a Patient with Hypertrophic Obstructive Cardiomyopathy

被引：0
|
作者：
Oellers, Patrick [1 ]
Omer, Shuab [1 ]
Makosch, Gregor [1 ]
Kumar, Ramon [2 ]
Rashid, Haroon-Ur [2 ]
Navarijo, Joseph P. [2 ]
Ott, David A. [1 ]
机构：
[1] St Lukes Episcopal Hosp, Texas Heart Inst, Dept Cardiovasc Surg, Houston, TX 77030 USA
[2] St Lukes Episcopal Hosp, Texas Heart Inst, Dept Cardiol, Houston, TX 77030 USA
来源：
TEXAS HEART INSTITUTE JOURNAL | 2010年 / 37卷 / 05期
关键词：
Cardiomyopathy; hypertrophic/complications/surgery; heart septum/surgery; ventricular outflow obstruction/surgery; ventricular septum/pathology; SEPTAL MYECTOMY; CLINICAL-MANIFESTATIONS; SUBAORTIC STENOSIS; SURGICAL-TREATMENT; PATHOPHYSIOLOGY; INTERRELATIONS;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Transaortic myectomy is the standard treatment for symptomatic patients with hypertrophic obstructive cardiomyopathy that proves to be refractive to medical therapy. We encountered a case that required a modified surgical approach to relieve a left ventricular outflow tract obstruction that could not be adequately resected through the aortic annulus because of poor exposure of the ventricular septum. Persistent high gradients after the 1st operation necessitated a 2nd operation. We used a novel approach via the left ventricular apex that enabled us to resect a large amount of obstructive tissue under direct vision and thereby to relieve the left ventricular outflow tract obstruction. (Tex Heart Inst J 2010;37(5):576-8)
引用
收藏
页码：576 / 578
页数：3
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