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Surgical treatment for hypertrophic cardiomyopathy: a historical perspective

Dustin Hang1, Anita Nguyen1, Hartzell V Schaff1

  • 1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

Annals of Cardiothoracic Surgery
|September 26, 2017
PubMed

Insights

Hypertrophic cardiomyopathy (HCM) surgical treatments have evolved significantly. Transaortic septal myectomy is the gold standard for relieving left ventricular outflow tract (LVOT) obstruction in symptomatic patients.

Area of Science:

  • Cardiovascular Surgery
  • Cardiology
  • Medical History

Background:

  • Hypertrophic cardiomyopathy (HCM) understanding has grown substantially over 50 years.
  • Surgical interventions aim to relieve left ventricular outflow tract (LVOT) obstruction and improve symptoms in HCM patients.

Purpose of the Study:

  • To trace the historical development of transaortic septal myectomy for HCM.
  • To introduce novel myectomy techniques expanding surgical options for HCM.

Main Methods:

  • Historical review of surgical techniques for HCM.
  • Description of transaortic septal myectomy evolution.
  • Introduction of contemporary myectomy approaches.

Main Results:

  • Transaortic septal myectomy is the established gold standard for symptomatic HCM with LVOT obstruction.
  • Newer myectomy methods broaden surgical applicability in diverse HCM forms.

Conclusions:

  • Surgical management of HCM, particularly septal myectomy, has advanced considerably.
  • Evolving surgical techniques offer improved outcomes for a wider range of HCM patients.

Keywords:
Hypertrophic cardiomyopathy (HCM)historyseptal myectomy

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