Contents
Download PDF
pdf Download XML
157446 Views
11082 Downloads
Share this article
Case Report | Volume 24 Issue 1 (, 2018) | Pages 89 - 91
Trans-Septal Approach for Hypertrophic Obstructive Cardiomyopathy
 ,
 ,
 ,
 ,
Under a Creative Commons license
PMID : -26182625
Published
Jan. 12, 2015
Abstract

Transaortic septal myectomy, known as Morrow's procedure, is a standard treatment for hypertrophic obstructive cardiomyopathy (HOCM). The case is described of a 58-year-old male patient who suffered a repetition of syncope due to HOCM, in whom septal myectomy was performed. As resection of the hypertrophied septum using Morrow's procedure was considered insufficient by palpation to release mitral regurgitation (MR) and systolic anterior motion of the mitral valve, the surgical approach was changed such that the right ventricular outflow tract and ventricular septum was incised. The residual hypertrophied septum was successfully resected to the base of the anterior papillary muscle under direct vision. Postoperative echocardiography demonstrated a dramatic improvement in the MR and left ventricular outflow tract obstruction. The patient's postoperative course was good, with cibenzoline and calcium channel blocker therapy stopped and beta-blocker therapy reduced after surgery. If resection of the hypertrophied septum using Morrow's procedure is considered insufficient, a trans-septal approach represents an adequate option to treat HOCM.

 

 

 

How to cite: Konishi Y, Shomura Y, Fukunaga N, Koyama T, Okada Y. Trans-Septal Approach for Hypertrophic Obstructive Cardiomyopathy. J Heart Valve Dis. 2015 Jan;24(1):89-91. PMID: 26182625.

 
Keywords
Recommended Articles
Research Article
A Prospective Study on Heart Rate Variability as an Early Marker of Metabolic Syndrome in Young Adults
Published: 31/12/2024
Download PDF
Read Article
Research Article
Depression and Anxiety as Predictors of Major Adverse Cardiac Events in Patients with Coronary Artery Disease
Published: 30/12/2023
Download PDF
Read Article
Research Article
A Comparative Study on Early Outcomes of Off-Pump and On-Pump Coronary Artery Bypass Grafting (CABG): A Retrospective Study
...
Published: 17/10/2025
Download PDF
Read Article
Research Article
Echocardiographic Evaluation of Pulmonary Artery Hypertension and Left Ventricular Dysfunction in Chronic Obstructive Pulmonary Disease Patients and Its Co-Relation with Severity of Disease
...
Published: 13/10/2025
Download PDF
Read Article
© Copyright Journal of Heart Valve Disease