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Ann Thorac Surg 1994;58:575-577
© 1994 The Society of Thoracic Surgeons

Articles

Extended myectomy for hypertrophic obstructive cardiomyopathy

Bruno J. Messmer, MD*

Department of Thoracic and Cardiovascular Surgery, University Hospital, Aachen, Germany

Accepted for publication May 6, 1994.

* Address reprint requests to Dr Messmer, Department of Thoracic and Cardiovascular Surgery, Klinikum RWTH Aachen, D-52057 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 malattached 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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