title: [A case of hypertrophic obstructive cardiomyopathy using intraoperative trans-esophageal echocardiography].
abstract: A 45-year-old man underwent trans-aortic myectomy for hypertrophic obstructive cardiomyopathy (HOCM). Although two mounds of hypertrophic septal muscle were resected, Brockenbrough phenomena proved unsatisfactory myectomy. Intraoperative trans-esophageal echocardiogram (TEE) revealed a residual mound at the apical septum. After the additional myectomy, Brockenbrough phenomena was disappeared. Intraoperative TEE is an useful supplement in the operation of transaortic myectomy for HOCM.
authors.affiliation: Second Department of Surgery, University of Yamagata, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Minowa
authors.forename: T
authors.initials: T
authors.lastname: Shimazaki
authors.forename: S
authors.initials: S
authors.lastname: Hirooka
authors.forename: M
authors.initials: M
authors.lastname: Washio
authors.forename: N
authors.initials: N
authors.lastname: Nagae
authors.forename: H
authors.initials: H
authors.lastname: Oohira
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography / Q000379:methods*; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative