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The Annals of Thoracic Surgery, Vol 58, 575-577, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Extended myectomy for hypertrophic obstructive cardiomyopathy

BJ Messmer
Department of Thoracic and Cardiovascular Surgery, University Hospital, Aachen, Germany.

An extended surgical technique for better relief of the obstruction as well as of mitral valve incompetence in patients with hypertrophic obstructive cardiomyopathy is presented. In addition to the traditional septal myectomy facilitated by insertion of a sharp triple-hook retractor, operation is extended to the hypertrophied and mal-attached papillary muscles primarily responsible for the systolic anterior motion and mitral insufficiency, respectively. Long-term results confirm the accuracy of our operative strategy.

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