Document Detail

Septal myomectomy and coronary artery bypass in one case of hypertrophic obstructive cardiomyopathy.
MedLine Citation:
PMID:  20201256     Owner:  NLM     Status:  MEDLINE    
CASE PRESENTATION: A 56 years old man with hypertrophic cardiomyopathy, double coronary stenosis and grade II mitral regurgitation by systolic anterior motion was long time stable under treatment with b-blockers. He developed angina and the circumflex and the left anterior descending arteries were stented. Re-stenosis developed in the left anterior descending stent and the patient was referred to surgery. The intraventricular gradient was 80 mmHg and the maximal septal thickness 28 mm. He was successfully treated by septal myomectomy and bypass on the left anterior descending artery with the left internal thoracic artery. Perioperative transesophageal echography was used to establish the limits of the surgical resection and to control the remnant gradient. The patient is asymptomatic 6 months after the procedure, he has a 30 mmHg remnant gradient and a grade I mitral regurgitation.
CONCLUSION: Septal myomectomy is a safe alternative to mitral valve replacement for hypertrophic cardiomyopathy. This procedure must be guided by perioperative transesophageal echography to avoid incomplete resection.
L Stoica; T Georgescu; E Bitere; Sînziana Patrulea; Gabriela Omete
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i     Volume:  112     ISSN:  0048-7848     ISO Abbreviation:  Rev Med Chir Soc Med Nat Iasi     Publication Date:    2008 Jul-Sep
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-04-16     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  0413735     Medline TA:  Rev Med Chir Soc Med Nat Iasi     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  703-6     Citation Subset:  IM    
Department of Cardiovascular Surgery, Cardiology Center Iaşi.
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MeSH Terms
Cardiomyopathy, Hypertrophic / surgery*,  ultrasonography
Coronary Artery Bypass*
Echocardiography, Transesophageal
Mammary Arteries / transplantation*
Middle Aged
Mitral Valve Insufficiency / surgery
Perioperative Care
Treatment Outcome
Ventricular Septum / surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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