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  • Title: Extended septal myectomy and left ventricular outflow tract intervention for hypertrophic obstructive cardiomyopathy.
    Author: Pruna-Guillen R, Ascaso M, Affronti A, Quintana E.
    Journal: Multimed Man Cardiothorac Surg; 2021 Mar 02; 2021():. PubMed ID: 33691043.
    Abstract:
    Hypertrophic obstructive cardiomyopathy is the most common inherited cardiomyopathy. Septal myectomy is a low-risk operation and remains the first septal reduction therapeutic option. We present a patient with hypertrophic obstructive cardiomyopathy requiring extended septal myectomy and concomitant left ventricular outflow tract intervention. In addition to septal reduction therapy, this patient also underwent anterior mitral valve plication, trigonal release, and secondary chordal division to relieve the obstruction. A tailored approach to hypertrophic obstructive cardiomyopathy with a comprehensive left ventricular outflow tract intervention is necessary to ensure the best hemodynamic outcome. Preoperative heart failure and recurrent syncope fully resolved after this intervention.
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