One Year Follow Up after Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 7, Volume 75, Issue 4, April 2019, Page 2581-2584 PDF (175.02 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.31088 | ||||
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| Authors | ||||
Ahmed M. El Ashkar  1; Ahmed N. Khallaf2
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| 1Cardiothoracic Surgery, Beni-suef University, Beni-suef, Egypt | ||||
| 2Cardiothoracic Surgery, Fayoum University, Fayoum, Egypt | ||||
| Abstract | ||||
| Background: According to the European society of cardiology 2008, hypertrophic cardiomyopathies (HCM) are defined as increased ventricular wall thickness or mass, in the absence of loading conditions such as hypertension or valve disease. Objectives: The aim of the current study was to assess the short term (1 year) outcome of the Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy (HOaCM). Patients and Methods: The study included 31 patients who underwent septal myectomy at Kasr El Einy University Hospital, to assess the short term (1 year) outcome of the procedure. This prospective study was done during the period between March 2014 and May 2018 excluding any patient with ischemic or rheumatic pathology or requiring any additional procedure. Results: All patients had an LVOT peak gradient of more than 50 mmHg. All of the patients had preoperative mitral regurge. The preoperative septal wall thickness ranged from 1.5 to 3.5 cm with a mean of 2.1±0.7 cm. TEE showed a pressure gradient across the LVOT ranging from 4 to 20 mmHg with a mean of 7±6 mmHg, which was statistically significant in comparison to the preoperative values. Echocardiography done at one year follow up showed a peak systolic gradient across the LVOT ranging from 6 to 40 mmHg, with a mean of 18±8 mmHg. There was a statistically significant difference between the preoperative and one-year follow-up data (p value<0.001). However, there was no significant difference between the early postoperative and one-year followup. Conclusion: Septal myectomy for Hypertrophic Obstructive Cardiomyopathy (HOCM) is a safe procedure with good immediate and short-term results, and with good outcome if done by an experienced surgeon with good selection criteria | ||||
| Keywords | ||||
| Septal myectomy; Hypertrophic obstructive cardiomyopathy (HOCM); Follow up after septal myectomy; Hypertrophic cardiomyopathies; Idiopathic hypertrophic subaortic stenosis (IHSS) | ||||
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