{"title":"Role of Transapical Incision in the Surgical Management of Hypertrophic Cardiomyopathy","authors":"Hartzell V. Schaff, Fernando M. Juarez-Casso","doi":"10.1053/j.optechstcvs.2023.04.004","DOIUrl":null,"url":null,"abstract":"<div><p><span><span><span>Transapical ventriculotomy is an important technique in the surgical management of hypertrophic cardiomyopathy (HCM). It is our preferred method for addressing complex long-segment subaortic obstruction and isolated midventricular HCM, as it provides better exposure of the midcavity than alternate methods such as the transaortic or transmitral approach. The procedure can also be used to improve symptoms of </span>diastolic heart failure caused by reduced left ventricular end-diastolic volume as may occur </span>in patients<span> with apical HCM. In this article, we describe our surgical method for transapical </span></span>myectomy<span> to relieve midventricular obstruction or enlarge the left ventricular cavity to improve diastolic dysfunction in cases of extensive apical hypertrophy.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522294223000260","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1
Abstract
Transapical ventriculotomy is an important technique in the surgical management of hypertrophic cardiomyopathy (HCM). It is our preferred method for addressing complex long-segment subaortic obstruction and isolated midventricular HCM, as it provides better exposure of the midcavity than alternate methods such as the transaortic or transmitral approach. The procedure can also be used to improve symptoms of diastolic heart failure caused by reduced left ventricular end-diastolic volume as may occur in patients with apical HCM. In this article, we describe our surgical method for transapical myectomy to relieve midventricular obstruction or enlarge the left ventricular cavity to improve diastolic dysfunction in cases of extensive apical hypertrophy.
期刊介绍：
Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.
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