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Myomectomy Procedure - Hypertrophic Obstructive Cardiomyopathy


Hypertrophic obstructive cardiomyopathy (HOCM) is a condition in which the left ventricle becomes too thick, gradually resulting in severe diastolic dysfunction. As this process worsens, the left ventricle becomes stiffer and loses its ability to relax and fill properly during diastole. Less often, the septum thickens out of proportion to the rest of the left ventricle, setting up the potential for obstructive physiology. The mitral valve can then interfere with the surge of ventricular blood flow during systolic contraction and result in so-called systolic anterior motion (SAM) of the mitral valve. We strongly believe that alleviation of outflow tract obstruction in patients with HOCM also requires attention to the mitral valve. The position of leaflet coaptation is altered to exaggerate more posterior coaptation, reducing the potential for SAM, not uncommon after isolated septal excision.

Myomectomy Patient Case Study


Surgical Intervention 


The Right Surgery at the Right Time