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Titolo:
Surgical treatment of hypertrophic obstructive cardiomyopathy
Autore:
Schoendube, FA;
Indirizzi:
Univ Klinikum Gottingen, D-37075 Gottingen, Germany Univ Klinikum Gottingen Gottingen Germany D-37075 075 Gottingen, Germany
Titolo Testata:
EUROPEAN HEART JOURNAL SUPPLEMENTS
fascicolo: L, volume: 3, anno: 2001,
pagine: L26 - L31
SICI:
1520-765X(200110)3:L<L26:STOHOC>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
SYSTOLIC ANTERIOR MOTION; MITRAL-VALVE REPLACEMENT; TERM FOLLOW-UP; OPERATIVE TREATMENT; SUBAORTIC STENOSIS; EXTENDED MYECTOMY; SEPTAL MYECTOMY; MECHANISM; THERAPY; MYOTOMY;
Keywords:
extended myectomy; hypertrophic obstructive cardiomyopathy; myotomy-myectomy; surgical therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
38
Recensione:
Indirizzi per estratti:
Indirizzo: Schoendube, FA Univ Klinikum Gottingen, Robert Koch Str 40, D-37075 Gottingen, Germany Univ Klinikum Gottingen Robert Koch Str 40 Gottingen Germany D-37075
Citazione:
F.A. Schoendube, "Surgical treatment of hypertrophic obstructive cardiomyopathy", EUR H J SUP, 3(L), 2001, pp. L26-L31

Abstract

The rationale for surgical treatment of hypertrophic obstructive cardiomyopathy is based on the assumption that dynamical obstruction is mainly caused by a reduction in the left ventricular outflow tract cross-sectional areadue to bulging septal myocardial tissue. In this sense. classical myotomy-myectomy is the 'gold standard' therapy for patients with severely symptomatic hypertrophic obstructive cardiomyopathy. In my own experience with extended myectomy, more than three-quarters of all long-term survivors are in functional class I or II (New York Heart Association) and overall survival after 18 years (mean follow up 8.1 years) was 68%. with a linearized mortality rate of 1.9% per patient-year. Notably. there was no case of sudden cardiac death during follow up, leading to the assumption that relief from dynamical obstruction is most effective in the prevention of sudden cardiac death in these patients. (C) 2001 The European Society of Cardiology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 00:35:11