Myomectomy for hypertrophic cardiomyopathy

    • Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy

      Hypertrophic Cardiomyopathy Joseph A. Dearani, MD, and Gordon K. Danielson, MD T ransaortic septal myectomy is currently considered to be the most appropriate surgical treatment for pa-tients with obstructive hypertrophic cardiomyopathy (HCM) and severe symptoms unresponsive to medical therapy.1-18 However, there is a significant learning curve

    • Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy

      Obstructive Hypertrophic Cardiomyopathy in Children There is a role for surgery in pediatric patients with obstruc-tive HCM, although the operation is technically more chal-lenging because of the difficulty of exposure of the smaller structures. The prognosis for symptomatic pediatric patients with obstructive HCM has been shown to be much worse

    • [PDF File]PDF HYPERTROPHIC CARDIOMYOPATHY

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      to the heart that restores normal rhythm. ICDs are used in patients with hypertrophic cardiomyopathy who are felt to be at high risk for a sudden death or have documented serious ventricular arrhythmias. Surgery for HCM Septal myomectomy is a surgery that is performed in patients with hypertrophic cardiomyopathy when symptoms of

    • The Role of Calcium/Calmodulin-Dependent Protein Kinase II ...

      a robust set of myomectomy samples from patients with extensively phenotyped and fully genotyped hypertrophic cardiomyopathy to delineate the potential role of CaMKIIδ activation in disease pathogenesis. The study is specifically focused on identifying path-ways known to be involved in the regulation of myocellular calcium homeostasis that

    • [PDF File]PDF Cardiomyopathy: An Overview

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      Hypertrophic cardiomyopathy is the most common primary cardiomyopathy and can cause exertional dyspnea, presyncope, atypical chest pain, heart failure, and sudden cardiac death.

    • Transapical approach for myectomy in hypertrophic cardiomyopathy

      Figure 3 In apical hypertrophic cardiomyopathy, the left ventricular apex is usually obliterated by hypertrophied muscle, and care should be taken not to injure the papillary muscles and mitral valve apparatus. Figure 2 The left anterior descending coronary artery (LAD) is identified, and an apical ventriculotomy is made lateral to it. This

    • Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy ...

      Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy in Pediatric Patients: Early and Late Results Kenji Minakata, MD, Joseph A. Dearani, MD, Patrick W. O'Leary, MD, and Gordon K. Danielson, MD Divisions of Cardiovascular Surgery and Pediatric Cardiology, Mayo Clinic and Foundation, Rochester, Minnesota

    • [PDF File]PDF Cardiomyopathy: An Overview

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      cardiomyopathy.1 Peripartum cardiomyopathy is a rare dilated cardiomyopathy with onset in the third trimes- ter of pregnancy or in the first five months postpartum.

    • [PDF File]PDF Apical Hypertrophic Cardiomyopathy

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      Apical hypertrophic cardiomyopathy (AHC) is a rare variant of hypertrophic cardiomyopathy first described in Asian patients.1,3 It is more common in Asia, although it is also seen in the Western nations.2 It is predominantly a hereditary disease, although it can also be present in

    • [PDF File]PDF Septal Myectomy, Papillary Muscle Resection, and Case Report ...

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      We report a case of hypertrophic obstructive cardiomyopathy (HOCM) successfully treated with septal myectomy and mitral valve replacement (MVR) combined with a resection of the hypertrophic papillary muscles. The patient, a 74-year-old woman, first underwent the con-ventional septal myectomy through aortotomy. The papillary muscles revealed a ...

    • [PDF File]PDF Rx FOR SUCCESS - Issue

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      procedure called a myomectomy. Rx FOR SUCCESS Hypertrophic Cardiomyopathy Securities and Insurance Products: Not Insured by FDIC or Any Federal Government Agency. May Lose Value. Not a Deposit of or Guaranteed by Any Bank or Bank Affiliate. This material is designed to provide general information about the subject matter covered.

    • PDF Modified Septal Myectomy and Repair of Mitral Valve Apparatus ...

      Modified Septal Myectomy and Repair of Mitral Valve Apparatus for the Treatment of Hypertrophic Cardiomyopathy Pratap K. Paruchuru, Ramesh L. Patel

    • [PDF File]PDF Alcohol Septal Ablation for Hypertrophic Obstructive ...

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      Alcohol Septal Ablation for Hypertrophic Cardiomyopathy Last review: April 13, 2018 Page 3 of 3 Maron BJ, McKenna WJ, Danielson GK, et al. ACC)/ESC clinical expert consensus document on hypertrophic cardiomyopathy. A report of the ACC Foundation Task Force on Clinical Expert Consensus Documents and the ESC Committee for Practice Guidelines.

    • Myectomy Still "Gold Standard" Treatment for Severe ...

      hypertrophic subaortic stenosis" or "IHSS," subsequently renamed "hypertrophic cardiomyopathy." We now know that HCM is a genetic cardiac disorder caused by a missense mutation in 1 of at least 10 genes that encode the proteins of the cardiac sarcomere. "The pathophysiology is complex, consisting of a dynamic left ventricular ...

    • Exercise Guidelines in Hypertrophic Cardiomyopathy

      Exercise Guidelines in Hypertrophic Cardiomyopathy Professor Sanjay Sharma MD, FRCP, ... Surgical myomectomy High Risk HCM ICD . PERMANENT SUBSTRATE . ... After treatment for hypertrophic cardiomyopathy. Keywords: ESC Congress 2011 Paris - Cardiology congress - cardiovascular disease ...

    • [PDF File]PDF Adapted from the 2011 ACCF/AHA Guideline for the Diagnosis ...

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      Diagnosis and Treatment of Hypertrophic Cardiomyopathy (Circulation; 2011. DOI: 10.1161/CIR.0b013e318223e2bd). This pocket guideline is available on the World Wide Web sites of the American College of Cardiology (www.cardiosource.org) and the American Heart Association (my.americanheart.org).

    • Surgical septal myectomy: An enduring but evolving treatment ...

      Surgical septal myectomy: An enduring but evolving treatment for obstructive hypertrophic cardiomyopathy Francis D. Pagani, MD, PhD Hypertrophic cardiomyopathy (HCM) is the most common

    • [PDF File]PDF Comparing the Importance of Hemodynamic Obstruction with ...

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      Abstract: Objective: Myomectomy is the cornerstone of therapy for hypertrophic obstructive cardiomyopathy (HOCM) in the presence of a high gradient. The importance of mechanical gradient across the left ventricle outflow track (LVOT) vs left ventricular diastolic dysfunction (LVDD) is debatable.

    • [PDF File]PDF Intraoperative Two- and Three-Dimensional Transesophageal ...

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      Myectomy-Mitral Operations for Hypertrophic Cardiomyopathy Robert G. Nampiaparampil, MD, Daniel G. Swistel, MD, Michael Schlame, MD, Muhamed Saric, MD, PhD, and Mark V. Sherrid, MD, New York, New York Transesophageal echocardiography is essential in guiding the surgical approach for patients with obstructive hypertrophic cardiomyopathy.

    • [PDF File]PDF Mitral regurgitation in hypertrophic obstructive ...

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      Hypertrophic cardiomyopathy is a condition caused by mutations in sarcomeric proteins, which result in abnormal muscle hypertrophy, particularly in the interventricular sep-tum (1). Dynamic left ventricular outflow tract (LVOT) obstruction and the concomitant mitral regurgitation (MR) both caused by systolic anterior motion (SAM) of the mitral

    • [PDF File]PDF Transcoronary Ablation of Septal Hypertrophy (TASH)

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      Transcoronary Ablation of Septal Hypertrophy or also know as Non-Surgical Septal Reduction meets Blue Cross and Blue Shield of Alabama's medical criteria for coverage for services rendered on or after 5/23/01 when the following coverage criteria are met. 1. Severely symptomatic patient with hypertrophic cardiomyopathy (HOCM) 2.

    • [PDF File]PDF Symptoms Resistant to Medications. The RPR" Repair: Resection ...

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      Surgical Myectomy for Obstructive Hypertrophic Cardiomyopathy for Symptoms Resistant to Medications. The "RPR" Repair: Resection, Plication and Release. Outflow tract obstruction to the left ventricle thought due to infundibular hypertrophy was first

    • [PDF File]PDF Hypertrophic Cardiomyopathy

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      Hypertrophic cardiomyopathy (HCM) is the preferred name for this disorder, but it may also be called asymmetric septal hypertrophy (ASH) or idiopathic subaortic stenosis (IHSS). Persons with HCM can appear outwardly healthy, active, and fit. Nothing is visible on physical examination although some may have a soft murmur.

    • Magnetic Resonance Imaging of Hypertrophic Cardiomyopathy ...

      Apical hypertrophic cardiomyopathy, showing normal mid ventricular myocardial thickness and abnormal increased apical myocardial thickening on (A) the long-axis view, (B) the short-axis mid ventricular view, and (C) the short-axis apical view. CMR in hypertrophic cardiomyopathy / Canadian Association of Radiologists Journal 66 (2015) 71e78 73

    • Is septal ablation preferable to surgical myomectomy for ...

      myomectomy for obstructive hypertrophic cardiomyopathy? Surgical Myectomy Remains the Primary Treatment Option for Severely Symptomatic Patients With Obstructive Hypertrophic Cardiomyopathy Barry J. Maron, MD T he evolving alcohol septal ablation versus surgical myectomy controversy represents a crossroad in the

    • Subaortic Myectomy for Patients with Hypertrophic Obstructive ...

      hypertrophic obstructive cardiomyopathy, and may be due to ventricular tachycardia or fibrillation.8 The risk factors for sudden death are a family history, certain subsets of the ge-netic disorder, and increased septal thickness.9 The absolute indications for AICD are unclear and post-myectomy, the risk of sudden death is very low.

    • [PDF File]PDF Hypertrophic Cardiomyopathy

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      Hypertrophic Cardiomyopathy What is Hypertrophic Cardiomyopathy? Hypertrophic cardiomyopathy (HCM) is the most common inherited heart disease. Approximately 1 in 500 people in the general population have HCM, and it affects individuals of both sexes and of all ethnicities. HCM is a disorder in which the muscle fibersof the heart increase

    • Current Effectiveness and Risks of Isolated Septal Myectomy ...

      therapy for hypertrophic obstructive cardiomyopathy (HOCM). However, it is being challenged by a less-invasive alternative: alcohol septal ablation. This study examined the clinical effectiveness and risks of isolated septal myectomy for HOCM. Methods. From January 1994 to January 2005, 323 pa-tients underwent isolated septal myectomy (mean age 50

    • PDF Hypertrophic obstructive cardiomyopathy in liver transplant ...

      Hypertrophic obstructive cardiomyopathy in liver transplant patients Fadi G. Hage, Paco E. Bravo, Gilbert J. Zoghbi, John S. Bynon and Raed A. Aqel ... and high risk for surgical myomectomy due to ...

    • [PDF File]PDF Multimodality Imaging of a Coronary Artery Fistula After ...

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      IMAGES IN CARDIOLOGY Multimodality Imaging of a Coronary Artery Fistula After Septal Myomectomy in Hypertrophic Cardiomyopathy Philip J. Garber, MD,* Farrukh Hussain, MD,* James K. Koenig, MD,† Bruce Maycher, MD,‡

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