A post-myectomy heart: 20 years later

Abstract We present the case of a 20-year old male that underwent a surgical ventricular septal myectomy at 8 months of age for symptomatic and drug-refractory obstructive hypertrophic cardiomyopathy (HCM). Though he has remained asymptomatic since the operation, he now demonstrates findings of card...

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Bibliographic Details
Published in:International journal of cardiology 2011-07, Vol.150 (2), p.e59-e61
Main Authors: Ramirez, F. Daniel, Johri, Amer M, Kafka, Henryk, Smythe, John, Sanfilippo, Anthony J, Simpson, Christopher S, Redfearn, Damian P, Baranchuk, Adrian
Format: Article
Language:English
Subjects:
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - trends
Cardiomyopathy, Hypertrophic - diagnostic imaging
Cardiomyopathy, Hypertrophic - surgery
Cardiovascular
Humans
Hypertrophic cardiomyopathy
Male
Myectomy
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Treatment Outcome
Ultrasonography
Young Adult
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Summary:Abstract We present the case of a 20-year old male that underwent a surgical ventricular septal myectomy at 8 months of age for symptomatic and drug-refractory obstructive hypertrophic cardiomyopathy (HCM). Though he has remained asymptomatic since the operation, he now demonstrates findings of cardiac arrhythmia and left ventricular dysfunction. His case is of particular interest as it represents a detailed and lengthy follow-up from early childhood to adulthood. Recognizing the post-myectomy state as a potentially separate entity from non-operated HCM can promote an individualized approach to long-term medical management.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2009.10.011