Surgery for Hypertrophic Obstructive Cardiomyopathy: Comprehensive LVOT Management beyond Septal Myectomy

被引：13
作者：
Affronti, Alessandro [1 ]
Pruna-Guillen, Robert [1 ]
Sandoval, Elena [1 ]
Pereda, Daniel [1 ]
Alcocer, Jorge [1 ]
Castella, Manuel [1 ]
Quintana, Eduard [1 ]
机构：
[1] Univ Barcelona, Sch Med, Hosp Clin Barcelona, Inst Clin Cardiovasc,Cardiovasc Surg, C Villarroel 170 Esc 1 5th Floor, Barcelona 08036, Spain
来源：
JOURNAL OF CLINICAL MEDICINE | 2021年 / 10卷 / 19期
关键词：
hypertrophic obstructive cardiomyopathy; systolic anterior motion; septal myectomy; mitral valve; ANTERIOR MITRAL LEAFLET; OUTFLOW TRACT OBSTRUCTION; PAPILLARY-MUSCLE MORPHOLOGY; SUBAORTIC STENOSIS; SURGICAL-MANAGEMENT; ANOMALOUS INSERTION; VALVE ABNORMALITIES; OPERATIVE TREATMENT; ALCOHOL ABLATION; MOTION;
D O I：
10.3390/jcm10194397
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Hypertrophic cardiomyopathy (HCM) is a complex, underestimated, multifaceted disease frequently associated with left ventricular outflow tract (LVOT) obstruction. It is clearly demonstrated that this is due not only to septal hypertrophy but also to systolic anterior motion (SAM) of mitral valve leaflets secondary to mitral valve/subvalvular apparatus abnormalities. Surgical treatment involves performing an extended septal myectomy, eventually followed by ancillary procedures to those structures responsible for maintaining LVOT obstruction, if necessary. In this review, we describe the spectrum of possible surgical techniques beyond septal myectomy and their pathophysiologic rationale.
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页数：13
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共 68 条
  • [11] Transaortic Chordal Cutting Mitral Valve Repair for Obstructive Hypertrophic Cardiomyopathy With Mild Septal Hypertrophy
    Ferrazzi, Paolo
    Spirito, Paolo
    Iacovoni, Attilio
    Calabrese, Alice
    Migliorati, Katrin
    Simon, Caterina
    Pentiricci, Samuele
    Poggio, Daniele
    Grillo, Massimiliano
    Amigoni, Pietro
    Iascone, Maria
    Mortara, Andrea
    Maron, Barry J.
    Senni, Michele
    Bruzzi, Paolo
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 66 (15) : 1687 - 1696
  • [12] VARIABILITY OF ECHOCARDIOGRAPHIC DISCONTINUITY IN DOUBLE OUTLET RIGHT VENTRICLE AND TRUNCUS ARTERIOSUS
    FRENCH, JW
    POPP, R
    [J]. CIRCULATION, 1975, 51 (05) : 848 - 854
  • [13] RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH DIFFUSE SUBVALVULAR AORTIC STENOSIS
    FRYE, RL
    KINCAID, OW
    SWAN, HJC
    KIRKLIN, JW
    [J]. CIRCULATION, 1965, 32 (01) : 52 - &
  • [14] Echocardiography before and after Resect-Plicate-Release Surgical Myectomy for Obstructive Hypertrophic Cardiomyopathy
    Halpern, Dan G.
    Swistel, Daniel G.
    Po, Jose Ricardo
    Joshi, Rajeev
    Winson, Glenda
    Arabadjian, Milla
    Lopresto, Charles
    Kushner, Josef
    Kim, Bette
    Balaram, Sandhya K.
    Sherrid, Mark V.
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2015, 28 (11) : 1318 - 1328
  • [15] Accuracy of Jet Direction on Doppler Echocardiography in Identifying the Etiology of Mitral Regurgitation in Obstructive Hypertrophic Cardiomyopathy
    Hang, Dustin
    Schaff, Hartzell V.
    Nishimura, Rick A.
    Lahr, Brian D.
    Abel, Martin D.
    Dearani, Joseph A.
    Ommen, Steve R.
    [J]. JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2019, 32 (03) : 333 - 340
  • [16] MECHANISM OF LEFT-VENTRICULAR OUTFLOW OBSTRUCTION IN PATIENTS WITH OBSTRUCTIVE ASYMMETRIC SEPTAL HYPERTROPHY (IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS)
    HENRY, WL
    CLARK, CE
    GRIFFITH, JM
    EPSTEIN, SE
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 1975, 35 (03) : 337 - 345
  • [17] Surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center
    Hodges, Kevin
    Rivas, Carlos Godoy
    Aguilera, Jose
    Borden, Robert
    Alashi, Alaa
    Blackstone, Eugene H.
    DeSai, Milind Y.
    Smedira, Nicholas G.
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 157 (06) : 2289 - 2299
  • [18] NON-FAMILIAL HYPERTROPHIC CARDIOMYOPATHY: PREVALENCE, NATURAL HISTORY AND CLINICAL IMPLICATIONS
    Ingles, Jodie
    Burns, Charlotte
    Bagnall, Richard
    Lam, Lien
    Yeates, Laura
    Sarina, Tanya
    Puranik, Raj
    Briffa, Tom
    Atherton, John
    Driscoll, Tim
    Semsarian, Christopher
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 69 (11) : 839 - 839
  • [19] AN INTEGRATED MECHANISM FOR SYSTOLIC ANTERIOR MOTION OF THE MITRAL-VALVE IN HYPERTROPHIC CARDIOMYOPATHY BASED ON ECHOCARDIOGRAPHIC OBSERVATIONS
    JIANG, L
    LEVINE, RA
    KING, ME
    WEYMAN, AE
    [J]. AMERICAN HEART JOURNAL, 1987, 113 (03) : 633 - 644
  • [20] Mitral valve abnormalities in hypertrophic cardiomyopathy: Echocardiographic features and surgical outcomes
    Kaple, Ryan K.
    Murphy, Ross T.
    DiPaola, Linda M.
    Houghtaling, Penny L.
    Lever, Harry M.
    Lytle, Bruce W.
    Blackstone, Eugene H.
    Smedira, Nicholas G.
    [J]. ANNALS OF THORACIC SURGERY, 2008, 85 (05) : 1527 - 1536
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