Surgery for Hypertrophic Obstructive Cardiomyopathy

Authors

  • Ioannis Kokotsakis Department of Cardiac Surgery, Evagelismos General Hospital, Athens
  • Timotheos Sakellaridis Evagelismos Hospital, Athens
  • Georgia Giannulaki Evagelismos Hospital, Athens

DOI:

https://doi.org/10.2015/hc.v4i2.327

Abstract

Surgical treatment of hypertrophic obstructive cardiomyopathy (HOCM) comprises septal myectomy which though has been limited to patients with refractory symptoms and high resting gradients. Results of surgical intervention are well documented with dramatic reduction in left ventricular outflow tract gradient and resultant relief of symptoms in about 95% of patients. Transcoronary ablation of septal hypertrophy with alcohol is a newer percutaneous technique, designed to ablate hypertrophied cardiac septal muscle through localized infarction, but its efficacy compared with that of surgical myectomy is uncertain. In the present article we briefly review the technique of septal myectomy and compare it with septal ablation, concluding that the standard septal myectomy still remains the preferred and proven therapy.  

Author Biography

Ioannis Kokotsakis, Department of Cardiac Surgery, Evagelismos General Hospital, Athens

Specialty: Cardiac Surgery

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Issue

Vol. 4 No. 2 (2009)

Section

TECHNIQUES

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