Extended Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy : Report of a case / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 775-778, 2006.
Article
em Ko
| WPRIM
| ID: wpr-9351
Biblioteca responsável:
WPRO
ABSTRACT
Hypertrophic cardiomyopathy is characterized by inappropriate hypertrophy of the myocardium and is associated with various clinical presentations ranging from complete absence of symptoms to sudden, unexpected death. These are caused by dynamic obstruction of the left ventricular outflow tract and surgical approaches were initiated. But, the complete resection of hypertrophied midventricular septum is impossible by standard, transaortic approach, because of narrow vision and limited approach. And it leads to inadequate excision, will leave residual left vetnricular outflow tract obstruction or systolic anterior motion of mitral leaflet, and limit symptomatic improvement and patient's survival. We report a case of extended septal myectomy for hypertrophic cardiomyopathy of mid-septum in a child. The extended septal myectomy was performed by aortotomy and left ventricular apical incision, and made possible the complete resection of mid-ventricular septum, abnormal papillary muscles and chordae. The patient's symptom was improved and the postoperative course was uneventful.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Músculos Papilares
/
Cardiomiopatia Hipertrófica
/
Septos Cardíacos
/
Hipertrofia
/
Miocárdio
Limite:
Child
/
Humans
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2006
Tipo de documento:
Article