Document Detail


Surgical correction of hypertrophic obstructive cardiomyopathy in a patient with severe hypertrophy and septal myocardial fibrosis.
MedLine Citation:
PMID:  22761117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In patients with hypertrophic cardiomyopathy, myocardial fibrosis is an independent predictor of an adverse outcome. A new technique of hypertrophic obstructive cardiomyopathy (HOCM) surgical correction in patients with severe hypertrophy and septal myocardial fibrosis has been proposed. This approach avoids mechanical damage to the heart conduction system, and for the surgeon it improves visual inspection of the area to be resected. We present a case report of a 33-year old female patient with biventricular obstruction, extreme hypertrophy, septal myocardial fibrosis and episodes of ventricular tachycardia who underwent surgical correction according to this novel procedure. The advantage of the approach is an effective surgical treatment of HOCM in patients with severe hypertrophy and septal myocardial fibrosis who cannot be treated with the current surgical techniques.
Authors:
Konstantin Valentinovitch Borisov
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-07-03
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  15     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-19     Completed Date:  2013-02-08     Revised Date:  2013-10-11    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  769-71     Citation Subset:  IM    
Affiliation:
German-Russian Cardiac Clinic, Moscow, Russian Federation. dr.borisov@rambler.ru
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Surgical Procedures*
Cardiomyopathy, Hypertrophic / complications,  diagnosis,  pathology,  surgery*
Echocardiography
Female
Fibrosis
Heart Septum / pathology,  surgery*
Humans
Magnetic Resonance Imaging
Myocardium / pathology*
Severity of Illness Index
Tachycardia, Ventricular / etiology
Treatment Outcome
Comments/Corrections

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


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