title: Surgical correction of hypertrophic obstructive cardiomyopathy with combined myectomy, mobilisation and partial excision of the papillary muscles.
abstract: A modified surgical technique for correction of hypertrophic obstructive cardiomyopathy (HOCM) with extended myectomy together with mobilisation and partial excision of papillary muscles was performed between 1/79 and 12/92 in 58 severely symptomatic patients refractory to medical treatment. Low hospital mortality rate (1.7%) and perioperative complication rate, an equally low linear mortality 1.4% per patient year and excellent functional status (77% class I or II NYHA) of the patients at follow-up demonstrate the necessity of a comprehensive approach for correction of severely symptomatic patients with HOCM and the feasibility of our operative strategy.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Klinikum RWTH Aachen, Germany.
authors.forename: F A
authors.initials: FA
authors.lastname: Schoendube
authors.forename: H G
authors.initials: HG
authors.lastname: Klues
authors.forename: S
authors.initials: S
authors.lastname: Reith
authors.forename: B J
authors.initials: BJ
authors.lastname: Messmer
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002312:Cardiomyopathy, Hypertrophic / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome