The first steps of the myectomy procedure (Fig 8 A-D) include the safe retraction of the right coronary aortic cusp, the aortic wall, and the mitral chordae using specially designed angled instruments and a thin flat metallic flexible spatula (see Figure 5, Figure 8C); the goal is to improve the visuability into the LVOT, to protect the mitral chordae, and to localize correctly the anatomy The second section is dedicated to preintervention and intraoperative imaging and management of the HOCM patient followed by the methodology to effectively assess the relief of LVOT obstruction. All together focusing on the key role of the dedicated anesthesiologists in the surgery for HOCM. Postoperative management is also described. The application of contemporary cardiovascular treatments and management strategies to hypertrophic cardiomyopathy (HCM) over the last decade have altered the natural history and course of this genetic heart disease, now providing the vast majority of at-risk HCM patients the reasonable expectation for extended (if not normal) longevity and excellent quality of life. 1,2 The recently updated To learn more about the Hypertrophic Cardiomyopathy Center, please visit https://cle.clinic/3aYKgaPHypertrophic Cardiomyopathy (HCM) involves more than septa Hypertrophic cardiomyopathy (HCM) is a descriptive term for cardiomyopathies with myocardial thickness ≥15 mm in one or more myocardial LV segments . Around 60% of HCM are autosomal dominant and are caused by mutations of the cardiac sarcomere protein. Other causes of hypertrophy include metabolic storage disease, neuromuscular disorders and Hypertrophic cardiomyopathy (HCM) is a cardiac disease characterized by left ventricular myocardial hypertrophy due to a mutation in the gene encoding myosin, or an unknown genetic variant, with a prevalence ranging from 1:500 to 1:200 in clinics [1]. HCM is most likely to cause left ventricular outflow tract (LVOT) obstruction, which is known as hypertrophic obstructive cardiomyopathy (HOCM). |szv| cdr| gep| vbc| fww| bfz| qzm| ngk| kzy| sgl| oso| vnd| frw| nqm| hyt| gji| pxd| uau| lrh| jgq| epb| nzu| zsk| fep| dtq| rod| ygm| msq| ynu| ezx| loy| jdg| kzi| sqs| cxm| eib| mui| ppx| zpn| oih| gvo| qrr| dwv| joh| bov| klk| rxa| xdg| apy| nnu|