Hypertrophic obstructive cardiomyopathy. Late follow-up after ventricular myotomy-myectomy.
A series of 25 patients with hypertrophic obstructive cardiomyopathy, isolated or associated with minor anomalies, were operated upon using a modified Morrow's procedure. The indication for operation was based on either the presence of severe symptoms despite treatment with beta-blocking agents, or a significant peak gradient of over 50 mmHg even in asymptomatic patients. All patients survived and none was lost to follow-up. Long-term results were evaluated with 2-dimensional echocardiography. Surgical versus pharmacological treatment is discussed, with particular consideration given to paediatric patients.
Luisi
V S
VS
Department of Pediatric Cardiothoracic Surgery, Massa Hospital, Italy.
Giusti
S
S
Reginato
E
E
Pasqué
A
A
Grieco
G
G
Azzolina
G
G
D000293:Adolescent; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors