Ann Thorac Surg 2008;85:133-134. doi:10.1016/j.athoracsur.2007.08.064
© 2008 The Society of Thoracic Surgeons
Original Articles: Cardiovascular
Invited commentary
Joseph Dearani, MD
Section of Cardiovascular Surgery, Mayo Clinic, 200 First St, SW, Rochester, MN 55905
(Email: jdearani@mayo.edu).
| The first 20% of the full text of this article appears below. |
It has been 50 years since the initial report of the disease that is now recognized as hypertrophic cardiomyopathy (HCM). During the past 5 decades there have been pendular shifts in the enthusiasm for surgical relief of dynamic outflow obstruction. Improvements in the understanding of the hemodynamics, pathophysiology, and surgical techniques has led to a re-emergence of surgical septal myectomy (SSM) as an appropriate therapy for patients with severe symptoms that were refractory to pharmacologic therapies, which is an indication that has not changed to this day. The SSM has also been challenged by the development and investigation of novel, seemingly "less invasive," yet still interventional therapies: dual-chamber pacing and percutaneous alcohol . . . [Full Text of this Article]
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Copyright © 2008 by The Society of Thoracic Surgeons.