Improving surgical management of hypertrophic cardiomyopathy with echocardiographic guidance

T. H. Marwick; W. J. Stewart; H. M. Lever; B. W. Lytle; E. R. Rosenkranz; C. I. Duffy; E. E. Salcedo

Improving surgical management of hypertrophic cardiomyopathy with echocardiographic guidance

T. H. Marwick, W. J. Stewart, H. M. Lever, B. W. Lytle, E. R. Rosenkranz, C. I. Duffy, E. E. Salcedo

Research output: Contribution to journal › Article › peer-review

Abstract

The value of echocardiography before and during surgery for planning and guiding septal myectomy to ensure adequate, controlled reduction of the left ventricular outflow tract gradient was evaluated in 50 hypertrophic cardiomyopathy patients. Based on the surgical result, the initial myectomy attempt was successful in 40 patients; 10 required further surgery. At follow-up, the outflow tract gradient was similar for both groups. Echocardiography proved useful both preoperatively for assessing the extent of the obstruction and location of its site, and intraoperatively for identifying patients requiring more extensive surgery.

Original language	English (US)
Pages (from-to)	30+33-36+42
Journal	Cardiology Board Review
Volume	11
Issue number	1
State	Published - Jan 1 1994
Externally published	Yes

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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title = "Improving surgical management of hypertrophic cardiomyopathy with echocardiographic guidance",

abstract = "The value of echocardiography before and during surgery for planning and guiding septal myectomy to ensure adequate, controlled reduction of the left ventricular outflow tract gradient was evaluated in 50 hypertrophic cardiomyopathy patients. Based on the surgical result, the initial myectomy attempt was successful in 40 patients; 10 required further surgery. At follow-up, the outflow tract gradient was similar for both groups. Echocardiography proved useful both preoperatively for assessing the extent of the obstruction and location of its site, and intraoperatively for identifying patients requiring more extensive surgery.",

author = "Marwick, {T. H.} and Stewart, {W. J.} and Lever, {H. M.} and Lytle, {B. W.} and Rosenkranz, {E. R.} and Duffy, {C. I.} and Salcedo, {E. E.}",

year = "1994",

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AU - Marwick, T. H.

AU - Stewart, W. J.

AU - Lever, H. M.

AU - Lytle, B. W.

AU - Rosenkranz, E. R.

AU - Duffy, C. I.

AU - Salcedo, E. E.

PY - 1994/1/1

Y1 - 1994/1/1

N2 - The value of echocardiography before and during surgery for planning and guiding septal myectomy to ensure adequate, controlled reduction of the left ventricular outflow tract gradient was evaluated in 50 hypertrophic cardiomyopathy patients. Based on the surgical result, the initial myectomy attempt was successful in 40 patients; 10 required further surgery. At follow-up, the outflow tract gradient was similar for both groups. Echocardiography proved useful both preoperatively for assessing the extent of the obstruction and location of its site, and intraoperatively for identifying patients requiring more extensive surgery.

AB - The value of echocardiography before and during surgery for planning and guiding septal myectomy to ensure adequate, controlled reduction of the left ventricular outflow tract gradient was evaluated in 50 hypertrophic cardiomyopathy patients. Based on the surgical result, the initial myectomy attempt was successful in 40 patients; 10 required further surgery. At follow-up, the outflow tract gradient was similar for both groups. Echocardiography proved useful both preoperatively for assessing the extent of the obstruction and location of its site, and intraoperatively for identifying patients requiring more extensive surgery.

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