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Transmitral Septal Myectomy and Mitral Valve Plasty for Hypertrophic Obstructive Cardiomyopathy Combined with Organic Mitral Regurgitation;Report of a Case Yutaro Matsuno 1 , Akihiro Fujita 1 , Hiroshi Kurazumi 1 , Shigeru Ikenaga 1 1Department of Cardiovascular Surgery, JCHO Tokuyama Central Hospital Keyword: hypertrophic obstructive cardiomyopathy , transmitral septal myectomy pp.1101-1104
Published Date 2020/12/1
DOI https://doi.org/10.15106/j_kyobu73_1101
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A 60-year-old man with hypertrophic obstructive cardiomyopathy (HOCM) combined with organic mitral regurgitation underwent transmitral septal myectomy and mitral valve plasty. Although a transaortic septal myectomy (Morrow’s procedure) is generally accepted as the standard surgical treatment for HOCM, it may be difficult to perform sufficient septal myectomy for mid-ventricular obstructive hypertrophic cardiomyopathy and apical hypertrophic cardiomyopathy (HCM). The transmitral approach with temporary detachment of the anterior mitral leaflet provides a good surgical view in the left ventricle, which allows sufficient septal myectomy from the outflow tract to the apex.


© Nankodo Co., Ltd., 2020

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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