Journal
JOURNAL OF CARDIAC SURGERY
Volume 37, Issue 7, Pages 2197-2201Publisher
WILEY
DOI: 10.1111/jocs.16546
Keywords
hypertrophic obstructive cardiomyopathy; minimally invasive; septal myectomy
Categories
Funding
- General Research Program in Medicine and Health of Zhejiang Province [2021KY488]
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This study achieved good surgical results by using a minimally invasive, video-assisted single-port thoracotomy to treat HOCM patients with refractory symptoms.
Extended left ventricular septal myectomy remains the gold standard for the treatment of hypertrophic obstructive cardiomyopathy (HOCM) with refractory symptoms. On the basis of traditional modified transaortic Morrow myectomy, we innovatively performed a minimally invasive, video-assisted single-port thoracotomy through the right infra-axillary region. Our procedure can provide good visualization of the left ventricular outflow tract and hypertrophic ventricular septum for accurate resection. It also ensures optimal exposure of the mitral valve in the presence of complex mitral subvalvular structures.
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