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Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Gilevskaya Yu.S.

Sechenov First Moscow State Medical University

Malmina A.I.

Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Redo surgical treatment of a patient with hypertrophic cardiomyopathy and recurrent left ventricular outflow tract obstruction

Authors:

Lysenko A.V., Salagaev G.I., Gilevskaya Yu.S., Malmina A.I., Belov Yu.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(2): 123‑127

DOI: 10.17116/hirurgia2025021123

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Table of contents

REDO SURGICAL TREATMENT OF A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY AND RECURRENT LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION
REDO SURGICAL TREATMENT OF A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY AND RECURRENT LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION

To cite this article:

Lysenko AV, Salagaev GI, Gilevskaya YuS, Malmina AI, Belov YuV. Redo surgical treatment of a patient with hypertrophic cardiomyopathy and recurrent left ventricular outflow tract obstruction. Pirogov Russian Journal of Surgery. 2025;(2):123‑127. (In Russ.)
https://doi.org/10.17116/hirurgia2025021123

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Septal myectomy is the gold standard for patients with obstructive hypertrophic cardiomyopathy. Nevertheless, some patients develop postoperative recurrence of left ventricular outflow tract obstruction and clinical symptoms of heart failure. Such ones require redo surgery if optimal medical therapy is ineffective.

Keywords:

hypertrophic cardiomyopathy
obstructive form
extreme hypertrophy
left ventricular outflow tract obstruction
redo surgery
septal myectomy
transapical myectomy

Authors:

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Gilevskaya Yu.S.

Sechenov First Moscow State Medical University

Malmina A.I.

Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Received:

20.04.2024

Accepted:

10.05.2024

List of references:

  1. Arbelo E., Protonotarios A., Gimeno J. R. et al. ESC Scientific Document Group. 2023 ESC Guidelines for the management of cardiomyopathies: Developed by the task force on the management of cardiomyopathies of the European Society of Cardiology (ESC), European Heart Journal 2023; 44 (37): 3503-3626. https://doi.org/10.1093/eurheartj/ehad194
  2. Wan CK, Dearani JA, Sundt TM 3rd, Ommen SR, Schaff HV. What is the best surgical treatment for obstructive hypertrophic cardiomyopathy and degenerative mitral regurgitation? Ann Thorac Surg. 2009;88(3):727-731; discussion 731-732.  https://doi.org/10.1016/j.athoracsur.2009.05.052
  3. Cho YH, Quintana E, Schaff HV, Nishimura RA, Dearani JA, Abel MD, Ommen S. Residual and recurrent gradients after septal myectomy for hypertrophic cardiomyopathy-mechanisms of obstruction and outcomes of reoperation. J Thorac Cardiovasc Surg. 2014;148(3):909-915; discussion 915-916.  https://doi.org/10.1016/j.jtcvs.2014.05.028
  4. Minakata K, Dearani JA, Schaff HV, O’Leary PW, Ommen SR, Danielson GK. Mechanisms for recurrent left ventricular outflow tract obstruction after septal myectomy for obstructive hypertrophic cardiomyopathy. Ann Thorac Surg. 2005;80(3):851-856  https://doi.org/10.1016/j.athoracsur.2005.03.108
  5. Fatima B, Schaff HV, Stephens EH, King KS, Cetta F, Dearani JA. Incidence of Reoperation After Surgical Procedure for Left Ventricular Outflow Tract Obstruction in Children and Young Adults. Ann Thorac Surg. 2023;115(1):136-142  https://doi.org/10.1016/j.athoracsur.2022.08.018
  6. Griffeth EM, Dearani JA, Schaff HV, Johnson JN, Ackerman MJ, Bos JM, Alzate-Aguirre M, Todd A, Cannon BC, Wackel PL, Stephens EH. Septal Myectomy Outcomes in Children and Adolescents With Obstructive Hypertrophic Cardiomyopathy. Ann Thorac Surg. 2023;116(3):499-507.  https://doi.org/10.1016/j.athoracsur.2023.04.021
  7. Bockeria LA, Skopin II, Merzlyakov VYu, Klyuchnikov IV, Skopin AI, Lysenko AV. Transventricular surgical correction of mitral regurgitation in a patient with post-infarction left ventricular aneurysm. Thoracic and Cardiovascular Surgery. 2006;3:60-63. (In Russ.).
  8. Lysenko AV, Salagaev GI, Lednev PV, Belov YuV. Surgical treatment of a patient with hypertrophic obstructive cardiomyopathy and p.Arg456Gln mutation in the PRKAG2 gene. Kardiologiya i Serdechno-Sosudistaya Khirurgiya. 2022;15(1):81-84. (In Russ.). https://doi.org/10.17116/kardio20221501181
  9. Lysenko AV, Salagaev GI, Lednev PV, Belov YuV. Surgical treatment of obstructive hypertrophic cardiomyopathy combined with muscle bridging of the left anterior descending artery. Pirogov Russian Journal of Surgery. 2022;(1):81-83. (In Russ.). https://doi.org/10.17116/hirurgia202201181
  10. Cui H, Nguyen A, Schaff HV. The Brockenbrough-Braunwald-Morrow sign. J Thorac Cardiovasc Surg. 2018;156(4):1614-1615. https://doi.org/10.1016/j.jtcvs.2018.04.095

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