title: Surgical Myectomy after Failed Ablation for Hypertrophic Obstructive Cardiomyopathy.
abstract: BackgroundHypertrophic cardiomyopathy is a genetic disease of the myocardial sarcolemma characterized by left ventricular hypertrophy. When obstruction to the left ventricular outflow tract is present and symptoms are refractory to medication, surgical myectomy or alcohol septal ablation is indicated.Case DescriptionWe report a case of a patient presented for myectomy due to recurrence only 1 year after alcohol ablation. Interesting findings were a firm subaortic membrane and a direct insertion of the papillary muscle into the mitral valve.ConclusionAfter myectomy and extensive papillary muscle mobilization, a significant relief of obstruction was achieved.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Georg-Agust University, Goettingen, Germany.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Bougioukas
authors.affiliation: Department of Cardiology, Paracelsus Medical University, Salzburg, Austria.
authors.forename: Uta
authors.initials: U
authors.lastname: Hoppe
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Georg-Agust University, Goettingen, Germany.
authors.forename: Bernhard
authors.initials: B
authors.lastname: Danner
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Georg-Agust University, Goettingen, Germany.
authors.forename: Friedrich A
authors.initials: FA
authors.lastname: Schoendube
keywords: alcohol septal ablation; hypertrophic obstructive cardiomyopathy; septal myectomy