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Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Cherepanova A.E.

Sechenov First Moscow State Medical University

Surgical approaches to interventricular septum in hypertrophic cardiomyopathy

Authors:

Lysenko A.V., Salagaev G.I., Lednev P.V., Cherepanova A.E.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(12): 99‑103

DOI: 10.17116/hirurgia202112199

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Table of contents

SURGICAL APPROACHES TO INTERVENTRICULAR SEPTUM IN HYPERTROPHIC CARDIOMYOPATHY
SURGICAL APPROACHES TO INTERVENTRICULAR SEPTUM IN HYPERTROPHIC CARDIOMYOPATHY

To cite this article:

Lysenko AV, Salagaev GI, Lednev PV, Cherepanova AE. Surgical approaches to interventricular septum in hypertrophic cardiomyopathy. Pirogov Russian Journal of Surgery. 2021;(12):99‑103. (In Russ.)
https://doi.org/10.17116/hirurgia202112199

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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Hypertrophic cardiomyopathy (HCM) is a hereditary myocardial disease characterized by ventricular wall and interventricular septum thickening not associated with heart valve disease or any other external cause. Considering different localization of left ventricular obstruction, surgeons should be aware of various surgical approaches to various segments of interventricular septum. A personalized approach to each patient is essential to achieve favorable postoperative effect with minimal incidence of complications. This review is devoted to various surgical approaches to interventricular septum for different phenotypic variants of HCM.

Keywords:

hypertrophic cardiomyopathy
septal myectomy
interventricular septum
surgical approach

Authors:

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Cherepanova A.E.

Sechenov First Moscow State Medical University

Received:

20.06.2021

Accepted:

12.07.2021

List of references:

  1. Belov YuV, Lednev PV, Lysenko AV, Salagaev GI, Nikityuk TG. Redo surgery for recurrent left ventricular outflow tract obstruction in a patient with hypertrophic cardiomyopathy. Cardiology and Cardiovascular Surgery. 2020;13(4):361-365. (In Russ.). https://doi.org/10.17116/kardio202013041361
  2. Lednev PV, Stonogin AV, Lysenko AV, Salagaev GI, Belov YuV. Hypertrophic cardiomyopathy: current state of the problem. Pirogov Journal of Surgery. 2019;1:83-88. (In Russ.). https://doi.org/10.17116/hirurgia201901183
  3. Lysenko AV, Salagaev GI, Lednev PV, Nikityuk TG, Belov YuV. Combined transapical and transaortic myectomy in a patient with hypertrophic cardiomyopathy. Cardiology and Cardiovascular Surgery. 2021;14(3):220-223. (In Russ.). https://doi.org/10.17116/kardio202114031220
  4. Dearani JA, Danielson GK. Septal myectomy for obstructive hypertrophic cardiomyopathy. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005;8691. https://doi.org/10.1053/j.pcsu.2005.01.003
  5. Ferrazzi P, Spirito P, Iacovoni A, et al. Transaortic Chordal Cutting: Mitral Valve Repair for Obstructive Hypertrophic Cardiomyopathy With Mild Septal Hypertrophy. J Am Coll Cardiol. 2015;66(15):1687-1696. https://doi.org/10.1016/j.jacc.2015.07.069
  6. Hang D, et al. Combined Transaortic and Transapical Approach to Septal Myectomy in Patients with Complex Hypertrophic Cardiomyopathy. The Journal of Thoracic and Cardiovascular Surgery. 2018;155:5:2096-2102. https://doi.org/10.1016/j.jtcvs.2017.10.054
  7. Khalil J, Kuehl M, Davierwala P, Mohr FW, Misfeld M. Hypertrophic obstructive cardiomyopathy-the Leipzig experience. Ann Cardiothorac Surg. 2017;6(4):337-342.  https://doi.org/10.21037/acs.2017.07.09
  8. Meier S, Noack T, Mohr FW, Seeburger J, Passage J. Transmitral myectomy and how to deal with systolic anterior motion (SAM) in hypertrophic obstructive cardiomyopathy. Ann Cardiothorac Surg. 2017;6(4):416-418.  https://doi.org/10.21037/acs.2017.06.01
  9. Nguyen A, Schaff HV, Nishimura RA, Geske JB, Dearani JA, King KS, Ommen SR. Apical myectomy for patients with hypertrophic cardiomyopathy and advanced heart failure. J Thorac Cardiovasc Surg. 2019:S0022-5223(19)30772-X.  https://doi.org/10.1016/j.jtcvs.2019.03.088
  10. Nguyen A, Schaff HV. Surgical Myectomy: Subaortic, Midventricular, and Apical. Cardiol Clin. 2019;37(1):95-104.  https://doi.org/10.1016/j.ccl.2018.08.006
  11. Nguyen A, Hartzell VS. Transaortic Septal Myectomy for Obstructive Hypertrophic Cardiomyopathy. Operative Techniques in Thoracic and Cardiovascular Surgery. 2017;22:4:200-215.  https://doi.org/10.1053/j.optechstcvs.2018.06.001
  12. Oberoi M, et al. Hypertrophic Cardiomyopathy: Interactive 3-Dimensional Modeling of Phenotypic Variants. The Journal of Thoracic and Cardiovascular Surgery. 2021;S0022522321000155. https://doi.org/10.1016/j.jtcvs.2020.12.118
  13. Quintana E, Schaff HV, Dearani JA. Transapical Myectomy for Septal Hypertrophy Not Accessible Through the Aortic Root. World J Pediatr Congenit Heart Surg. 2015;6(3):455-457.  https://doi.org/10.1177/2150135115589791
  14. Sun D, Schaff HV, Nishimura RA, Geske JB, Dearani JA, Ommen SR. Transapical Septal Myectomy for Hypertrophic Cardiomyopathy With Midventricular Obstruction. Ann Thorac Surg. 2021;111(3):836-844.  https://doi.org/10.1016/j.athoracsur.2020.05.182
  15. Wehman B, et al. Transmitral Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy. The Annals of Thoracic Surgery. 2018;105:4:1102-1108. https://doi.org/10.1016/j.athoracsur.2017.10.045
  16. Wehman B, Gammie JS. Transmitral Septal Myectomy. Operative Techniques in Thoracic and Cardiovascular Surgery. 2017;22:4:216-223.  https://doi.org/10.1053/j.optechstcvs.2018.06.002
  17. Wu JJ, Seco M, Medi C, et al. Surgery for hypertrophic cardiomyopathy. Biophys Rev. 2015;7(1):117-125.  https://doi.org/10.1007/s12551-014-0153-3

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