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  • Title: Surgical resection in idiopathic hypertrophic subaortic stenosis with a combined approach through aorta and left ventricle.
    Author: Agnew TM, Barratt-Boyes BG, Brandt PW, Roche AH, Lowe JB, O'Brien KP.
    Journal: J Thorac Cardiovasc Surg; 1977 Aug; 74(2):307-16. PubMed ID: 560608.
    Abstract:
    The operative technique and the immediate and long-term results are described in 49 patients who have undergone myectomy for IHSS. There was a 4 percent early and 12 percent late mortality rate and surviving patients have been followed for up to 13 years. The operation has resulted in a striking symptomatic improvement in most patients in association with relief of outflow obstruction and mitral regurgitation. Chronic atrial fibrillation was poorly tolerated but has not occurred as a late complication in any of the patients operated upon.
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