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Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Gurshchenkov A.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Sukhova I.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Maystrenko A.D.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Pakhomov A.V.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Kryukov N.A.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Novikov V.K.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

New method of heart mobilization in septal myectomy. First experience

Authors:

Gordeev M.L., Gurshchenkov A.V., Sukhova I.V., Maystrenko A.D., Pakhomov A.V., Kryukov N.A., Novikov V.K.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2015;8(5): 55‑58

DOI: 10.17116/kardio20158555-58

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NEW METHOD OF HEART MOBILIZATION IN SEPTAL MYECTOMY. FIRST EXPERIENCE
NEW METHOD OF HEART MOBILIZATION IN SEPTAL MYECTOMY. FIRST EXPERIENCE

To cite this article:

Gordeev ML, Gurshchenkov AV, Sukhova IV, Maystrenko AD, Pakhomov AV, Kryukov NA, Novikov VK. New method of heart mobilization in septal myectomy. First experience. Russian Journal of Cardiology and Cardiovascular Surgery. 2015;8(5):55‑58. (In Russ.)
https://doi.org/10.17116/kardio20158555-58

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Myectomy via transaortic approach is associated with problem of poor visualization of interventricular septum (IVS). Analysis of the situation shows that displacement of IVS from the horizontal to the vertical planfor is necessary for its optimal visualization. However tension of superior vena cava (SVC) and left atrium (LA) impedes this maneuver. Thus the idea of SVC transsection and if necessary LA wall incision was born to mobilize the heart. Total of 44 septal myectomy procedures were performed in our center. 6 of 29 (20.7%) cases without heart mobilization required aortic re-clamping for additional myectomy. Among 15 patients who were operated using heart mobilization no one required aortic re-clamping. Aortic cross-clamping and cardiopulmonary bypass duration were comparable in both groups. This method can be recommended for patients with limited visualization of IVS, where it allows avoiding repeated aortic cross-clamping for additional myectomy.

Keywords:

hypertrophic obstructive cardiomyopathy
mitral insufficiency
myectomy
heart mobilization

Authors:

Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Gurshchenkov A.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Sukhova I.V.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Maystrenko A.D.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Pakhomov A.V.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Kryukov N.A.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

Novikov V.K.

Northwestern Federal Medical Research Center of Health Ministry (director — acad. of RAS E.V. Shlyakhto), Saint Petersburg, Russia

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