Modified septal myectomy for small patients with hypertrophic obstructive cardiomyopathy.
For successful myectomy for hypertrophic obstructive cardiomyopathy, it is essential that a sufficient amount of muscle be excised under adequate surgical exposure. In addition to the method of standard transaortic myectomy, supplemental use of a flexible endoscope and a hand-made blade knife, which are available in any institution, can provide successful myectomy, especially for small patients, easily and safely.
Ueno
Tetsuya
T
Division of Cardiovascular Surgery, Ureshino National Hospital, 2436 Ureshino-machi, Fujitsu-gun, Saga 843-0393, Japan. tueno@uresino.hosp.go.jp
Ikeda
Kazuyuki
K
Koga
Yasuo
Y