Septal myectomy side effects

    • [PDF File]Patient selection for alcohol septal ablation for ...

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      drug side effects were referred for surgical septal myectomy, unless they had significant medical comorbidity or refused surgery.3 Selected patients were referred for surgical septal myectomy with-out an intervening disopyramide trial. These patients had systolic anterior motion, mitral-septal contact and also had (1) significant

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    • [PDF File]Myectomy or Alcohol Septal Ablation

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      ciated with debilitating side effects, and in these patients invasive treatment for septal reduction is indicated.2 Currently, the 2 most common interventions for septal reduction are surgical septal myectomy and alcohol septal ablation (ASA). Transaortic septal myectomy involves resection of hypertrophied muscle, which, when performed

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    • Long-Term Outcome of Percutaneous Transluminal Septal ...

      since its negative inotropic effects further decrease the outflow gradient and thereby improve symp-toms. 3,15 The choice of medication is based on ef-ficacy and potential side effects. other interventions Surgical Septal Myectomy Although medical therapy improves symptoms in most patients, a subgroup will need further inter-vention.

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    • [PDF File]Outcome of patients with hypertrophic obstructive ...

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      ment or who experience significant side effects, surgical intervention may be required.5 Guidelines indicate that alcohol septal ablation should be reserved for patients who are too old, too frail for surgery, ... Surgical septal myectomy is a technically demanding procedure.

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    • Septal myectomy for patients with hypertrophic ...

      myectomy and usually extending into the right ventricular side of the septum at mid-ventricular level” (11). The pattern of infarction seen by CMR after ablation makes sense if we imagine the effects of infusing alcohol into a septal branch of the proximal left coronary: the distribution of …

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    • [PDF File]Hypertrophic Obstructive Cardiomyopathy

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      and septal myectomy. Paroxysmal atrial fibrillation and flutter with a rapid ventricular response developed after an open cholecystec- Accepted for publication Nov 27, 1991. Address reprint requests to Dr Brodman, Department of Cardiothoracic Surgery, Montefiore Medical Center, 111 …

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    • Surgical myectomy versus alcohol septal ablation for

      may produce side effects (4). Surgical septal myectomy has been shown to be safe and effective for eliminating the LVOT obstruction and improving symptoms (5–9). How-ever, experience with myectomy is limited at many centers. Several reports show that the role of dual pacemakers as an option in the treatment of LVOT obstruction is still

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    • Septal Myectomy | Loyola Medicine

      septal myectomy is also considered for patients who have only class II symptoms but are dissatisfied with limitations on their lifestyle, for patients who are having side effects from the medications that are controlling their symptoms, and for patients with symptoms with low resting gradients but provocable obstruction.4 In the October 2015 ...

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    • Treatment of Obstructive Hypertrophic Cardiomyopathy ...

      toms.8–10 Myectomy has been the gold standard for septal reduction therapy because of solid long-term results (eg, survival comparable to the background population).11 The favorable outcome of myectomy reported from high-volume centers has been matched by a few high-volume PTSMA centers.12,13 However, single-center reports on annual mortal-

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

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      surgically via septal myectomy or by a catheter-based technique, alcohol septal ablation (ASA) [7]. Regardless of the technique employed ... symptoms, side effects and heart rate, with a heart rate goal of 50–60 for amelioration of the symptoms. In patients with contraindications

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