Surgical management of diastolic heart failure after septal myectomy for obstructive hypertrophic cardiomyopathy.

ABSTRACT:

Objective

Some patients with obstructive hypertrophic cardiomyopathy may remain limited after surgical relief of the subaortic obstruction. In this report, we describe experience in surgical management of patients with advanced diastolic heart failure symptoms after adequate transaortic septal myectomy for obstructive hypertrophic cardiomyopathy.

Methods

We identified adult patients who presented with heart failure symptoms after previous transaortic septal myectomy for obstructive hypertrophic cardiomyopathy and underwent repeat sternotomy for transapical myectomy to enlarge a small left ventricular cavity. Functional recovery after hospital dismissal was assessed through a questionnaire-based survey.

Results

Six patients with previous septal myectomy presented with

SUBMITTER: Sun D 

PROVIDER: S-EPMC8828785 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature