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Ann Thorac Surg 1997;63:1180-1182
© 1997 The Society of Thoracic Surgeons


How To Do It

Video-Assisted Resection of Hypertrophied and Fibrous Intraventricular Tissue

Erwin P. Bauer, MD, Oliver T. Reuthebuch, MD, Matthias Roth, MD, Woitek Skwara, MD, Wolf-Peter Klövekorn, MD

Division of Cardiothoracic Surgery, Kerckhoff-Clinic of Max-Planck-Institute, Bad Nauheim, Germany

Accepted for publication October 7, 1996.

There is increasing interest in endoscopic techniques in cardiac surgery. However, use of the endoscope during open heart operations is still not routine. Cardioscopy has been used in patients with hypertrophied obstructive cardiomyopathy, asymmetric septal hypertrophy, or membranous subaortic stenosis. We demonstrate the resection of this pathologic tissue under direct visualization. With this technique we could increase the safety and accuracy of this surgical procedure. Beside this advantage, the entire operating room staff could follow the surgical intervention, which increases its educational side-effect.




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