Septal myectomy with mitral valve surgery in patients after alcohol septal ablation.
Kostiantyn V RudenkoVasyl V LazoryshynetsLidiia O NevmerzhytskaMariia O TregubovaPolina A DanchenkoPublished in: Interactive cardiovascular and thoracic surgery (2022)
Extended septal myectomy in patients who previously underwent alcohol septal ablation is a safe procedure that affects all pathological manifestations of the disease. Routine preoperative computed tomography or cardiac magnetic resonance provides detailed anatomy of the anomalous left ventricle and subvalvular structures and allows to measure the extension of myectomy preventing the occurrence of iatrogenic ventricular septal defect. Septal myectomy of the calcified interventricular septum requires avoidance of 'one-piece technique' since fragmental myectomy allows visually control the adequacy of the left ventricle outflow tract release.
Keyphrases
- hypertrophic cardiomyopathy
- left ventricular
- mitral valve
- cardiac resynchronization therapy
- magnetic resonance
- left atrial
- computed tomography
- heart failure
- minimally invasive
- ejection fraction
- pulmonary hypertension
- newly diagnosed
- risk assessment
- pulmonary artery
- patients undergoing
- magnetic resonance imaging
- catheter ablation
- high resolution
- positron emission tomography
- clinical practice
- alcohol consumption
- atrial fibrillation
- mass spectrometry
- pet ct
- patient reported