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Surgical treatment of hypertrophic cardiomyopathy

Sameh M Said1, Hartzell V Schaff1

  • 1Division of Cardiovascular Surgery, College of Medicine, Mayo Clinic, Rochester, Minnesota.

Seminars in Thoracic and Cardiovascular Surgery
|March 29, 2014
PubMed

Insights

Hypertrophic cardiomyopathy (HCM) is a heart muscle disease causing unexplained left ventricular hypertrophy. Surgical septal myectomy is the preferred treatment for HCM when medical options fail or are not tolerated.

Area of Science:

  • Cardiology
  • Genetics
  • Internal Medicine

Background:

  • Hypertrophic cardiomyopathy (HCM) is a primary myocardial disease.
  • Characterized by unexplained left ventricular hypertrophy without other causes.
  • Key features include systolic anterior motion of the mitral valve, leading to outflow tract obstruction and regurgitation.

Purpose of the Study:

  • To review the available treatment options for Hypertrophic Cardiomyopathy (HCM).
  • To provide an overview of medical and surgical interventions for HCM management.

Main Methods:

  • Literature review of current treatment strategies for HCM.
  • Summary of established and emerging therapies.

Main Results:

  • Medical management is the initial approach for HCM.
  • Surgical septal myectomy is the preferred intervention when medical treatment is insufficient or not tolerated.
  • Various degrees of mitral valve regurgitation can occur.

Conclusions:

  • HCM requires careful management due to potential complications.
  • Surgical septal myectomy offers a definitive treatment option for obstructive HCM.
  • Comprehensive understanding of treatment options is crucial for patient care.

Keywords:
apical myectomyhypertrophic cardiomyopathyseptal myectomy

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