Septal myectomy

Septal myectomy
SpecialtyCardiology, cardiothoracic surgery

Septal myectomy is a cardiac surgery treatment for hypertrophic cardiomyopathy (HCM).[1] The open-heart surgery entails removing a portion of the septum that is obstructing the flow of blood from the left ventricle to the aorta.[2]

The most common alternatives to septal myectomies are treatment with medication (usually beta or calcium blockers) or non-surgical thinning of tissue with alcohol ablation. Ordinarily, septal myectomies are performed only after attempts at treatment with medication fail. The choice between septal myectomy and alcohol ablation is a complex medical decision.

Septal myectomy was established by Andrew G. Morrow in the 1960s.[3]

  1. ^ Cui, Hao; Schaff, Hartzell V. (2020). "80. Hypertrophic cardiomyopathy". In Raja, Shahzad G. (ed.). Cardiac Surgery: A Complete Guide. Switzerland: Springer. pp. 735–748. ISBN 978-3-030-24176-6.
  2. ^ Ralph-Edwards, Anthony; Vanderlaan, Rachel D.; Bajona, Pietro (July 2017). "Transaortic septal myectomy: techniques and pitfalls". Annals of Cardiothoracic Surgery. 6 (4): 410–415. doi:10.21037/acs.2017.07.08. ISSN 2225-319X. PMC 5602211. PMID 28944183.
  3. ^ "History of Changes for Study: NCT04603521". clinicaltrials.gov. Retrieved 30 October 2022.
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