David A. Theodoro, MDa, Gordon K. Danielson, MDa, Robert H

Slides:

Advertisements

Similar presentations

Surgical treatment of subaortic stenosis after biventricular repair of double-outlet right ventricle Emre Belli, MD, Alain Serraf, MD, François Lacour-Gayet,

Advertisements

Extended myectomy for hypertrophic obstructive cardiomyopathy

The left ventricular outflow tract in atrioventricular septal defect revisited: Surgical considerations regarding preservation of aortic valve integrity.

Septal myectomy for obstructive hypertrophic cardiomyopathy

Surgery for hypertrophic obstructive cardiomyopathy (HOCM): The extended transaortic subvalvular myectomy (TSM) approach Hagen D. Schulte, MD, Wolfgang.

Modified Konno Procedure for Left Ventricular Outflow Tract Obstruction David P. Bichell, MD Operative Techniques in Thoracic and Cardiovascular Surgery

Wretched Excess: Stool-softener Abuse and Cardiogenic Shock

Tirone E. David, MD, James Kuo, MD, Susan Armstrong, MSc

Traumatic rupture of the aortic isthmus in a patient with an aberrant right subclavian artery: Therapeutic implications Marek Bednarkiewicz, MDa, John.

N. Ad, MDa, E. Birk, MDb, J. Barak, MDa, S. Diamant, MDc, E

Current Effectiveness and Risks of Isolated Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy Nicholas G. Smedira, MD, Bruce W. Lytle, MD,

Emile A. Bacha, MDa, Gary M. Satou, MDb, Adrian M

Orientation of tilting disc and bileaflet aortic valve substitutes for optimal hemodynamics Joachim Laas, MD, Peter Kleine, MD, Michael J Hasenkam, MD,

Surgical treatment of thoracoabdominal aortic aneurysms by simple crossclamping: Risk factors and late results Marc A.A.M. Schepens, MD, Jo J.A.M. Defauw,

Resection of Discrete Subaortic Membranes

Hypertrophic Cardiomyopathy in Childhood: Disease Natural History, Impact of Obstruction, and Its Influence on Survival Edward J. Hickey, MD, Brian W.

Sandhya K. Balaram, MD, PhD, Ronald E. Ross, MBBS, Mark V

William G. Williams, MD, Igor E. Konstantinov, MD

Beyond Extended Myectomy for Hypertrophic Cardiomyopathy: The Resection- Plication-Release (RPR) Repair Sandhya K. Balaram, MD, PhD, Mark V. Sherrid,

Myectomy and mitral repair through the left atrium in hypertrophic obstructive cardiomyopathy: The preferred approach for contemporary surgical candidates?

Surgical treatment of residual systolic anterior motion after otherwise successful percutaneous transluminal septal myocardial ablation: A case report

Scan, plan, print, practice, perform: Development and use of a patient-specific 3- dimensional printed model in adult cardiac surgery Joshua L. Hermsen,

Dennis M. Mello, MD, John Fahey, MD, Gary S. Kopf, MD

Dipesh K. Shah, MD, Hartzell V. Schaff, MD, Martin D

Improved myocardial protection in minimally invasive aortic valve surgery with the assistance of port-access technology Shubjeet Kaur, MDa, Jorge Balaguer,

Syed T. Hussain, MD, Kwabena Mawulawde, MD, Samir R

Mobilization of the left and right fibrous trigones for relief of severe left ventricular outflow obstruction Magdi Yacoub, FRCS, FRCP, Obed Onuzo, MRCP,

One-stage repair of interrupted aortic arch, ventricular septal defect, and subaortic obstruction in the neonate: A novel approach Giovanni Battista.

Mitral valve operation in patients with the Marfan syndrome

Results of allograft aortic valve replacement for complex endocarditis

Long-term results of mitral valve repair for myxomatous disease with and without chordal replacement with expanded polytetrafluoroethylene sutures Tirone.

Transatrial and transmitral myectomy for hypertrophic obstructive cardiomyopathy of the left ventricle Hikaru Matsuda, MD Operative Techniques in Thoracic.

Subaortic stenosis in the spectrum of atrioventricular septal defects

Transmitral Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy Brody Wehman, MD, Mehrdad Ghoreishi, MD, Nathaniel Foster, BS, Libin Wang, MD,

Early and late results of partial plication annuloplasty for congenital mitral insufficiency Takaaki Sugita, MDa, Yuichi Ueda, MDb, Masahiko Matsumoto,

Factors affecting late survival after surgical remodeling of left ventricular aneurysms Hooshang Bolooki, MD, Eduardo DeMarchena, MD, Stephen M Mallon,

Hiroo Takayama, MD, PhD, Wendy K. Chung, MD, PhD, Mathew S

Robot-assisted septal myectomy for hypertrophic cardiomyopathy with left ventricular outflow tract obstruction Zain Khalpey, MD, PhD, MRCS (Eng), Lev.

Ebstein’s Anomaly Assessed by Real-Time 3-D Echocardiography

Edward R. Nowicki, MD, MS, Gösta B. Pettersson, MD, PhD, Nicholas G

Solitary coronary ostium and aberrant coursing left coronary arteries: Unfavorable anatomic anomaly in a case of aortic valve replacement M. Benedetti,

A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy Joerg.

Anatomic correction of the syndrome of prolapsing right coronary aortic cusp, dilatation of the sinus of valsalva, and ventricular septal defect Magdi.

Postinfarction ventricular septal rupture: Repair by endocardial patch with infarct exclusion Tirone E. David, MD, Laura Dale, RN (by invitation), Zhao.

Jonathan H. Soslow, MD, Daniel L. Saurers, RDCS, Debra A

Eyad K. El-Najdawi, MDa, David J. Driscoll, MDa, Francisco J

Pulmonary root translocation for biventricular repair of double-outlet left ventricle with absent subpulmonic conus Doff B. McElhinney, MS, V.Mohan Reddy,

Intermediate-Term Outcome Of Mitral Reconstruction In Cardiomyopathy

Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

Conotruncal Repair For Tetralogy Of Fallot: Midterm Results

Transfer of the posterior tricuspid leaflet and chordae for mitral valve repair Ulrik Hvass, MDa, José Calliani, MDa, Isabelle Nataf, a, Jean Michel Julliard,

Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Sameh M. Said, MD, Hartzell V. Schaff, MD,

Robert J. Cerfolio, MDa (by invitation), Gordon K

Fixed left ventricular outflow tract obstruction in presumed hypertrophic obstructive cardiomyopathy: implications for therapy Charles J Bruce, MB, Rick.

Patient recovery after intermittent disc escape and spontaneous recession of a mechanical heart valve Francis Robicsek, MD, PhD, Joseph W. Cook, MD

AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS Richard A. Jonas, MD, John F. Keane, MD, James.

Elspeth M. Brown, MRCP, Anthony P. Salmon, FRCP, Robert K. Lamb, FRCS

Reoperation for aneurysmal disease of the ascending aorta in patients with concomitant aortic valve incompetence Matthias Karck, MDa, Joachim Cremer,

Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous mitral papillary muscles or chordae Kenji Minakata, MD, Joseph A.

Young-Sang Sohn, MD, Christian P

Primary repair is superior to initial palliation in children with atrioventricular septal defect and tetralogy of fallot Hani K. Najm, MDa, Glen S. Van.

Yves d'Udekem, MD, PhD, Javariah Siddiqui, BMedSc, Cameron S

Reoperation for failure of mitral valve repair

Complete excision of secondary chordae of the anterior mitral leaflet as an adjunct in surgical management of hypertrophic obstructive cardiomyopathy.

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Filip Casselman, MD, PhD, FETCS, Hugo Vanermen, MD, FETCS

Umar S. Boston, MD, Joseph A. Dearani, MD, Patrick W

Congenital mitral-aortic discontinuity

Septal myectomy for obstructive hypertrophic cardiomyopathy

Presentation transcript:

Hypertrophic obstructive cardiomyopathy in pediatric patients: Results of surgical treatment David A. Theodoro, MDa, Gordon K. Danielson, MDa, Robert H. Feldt, MDb, Betty J. Anderson, RNa The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 6, Pages 1589-1599 (December 1996) DOI: 10.1016/S0022-5223(96)70018-1 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 Pie chart of age distribution. pt, Patients. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Anatomic characteristics of hypertrophic obstructive cardiomyopathy. A, Surgeon's view through transverse aortotomy. Right coronary cusp is located anteriorly and left cusp is located posteriorly and to left. Gentle retraction of aortic cusps, combined with posterior displacement of left ventricle as needed, exposes ventricular septum and anterior leaflet of mitral valve (AL MV). B, Sagittal viow through opened left ventricle showing membranous septum below commissure between right and noncoronary cusps, distribution of left bundle branches, septal hypertrophy, and anterior leaflet of mitral valve with its subvalvular apparatus. C, Extent of initial septal resection is shown. Resection is then extended leftward to anterior leaflet of mitral valve and apically to relieve all midventricular obstruction. RCA, Right coronary artery; LCA, left coronary artery. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Diagram of freedom from reoperation because of recurrent LVOT obstruction. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 Pie charts showing preoperative NYHA functional classification (left panel) and NYHA classification at most recent contact (right panel). pt, Patients. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 Diagram of mean LVOT gradients measured before operation (Preop) and at late follow-up (Late postop) by echocardiography. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 Patient survival in current surgical series compared with survival in pediatric patients with HOCM treated nonsurgically (Dx child) as reported by McKenna and associates.14 The Journal of Thoracic and Cardiovascular Surgery 1996 112, 1589-1599DOI: (10.1016/S0022-5223(96)70018-1) Copyright © 1996 Mosby, Inc. Terms and Conditions