Musharbash Farah N, Schill Matthew R, Henn Matthew C, Damiano Ralph J
From the Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO USA.
Innovations (Phila). 2017 Nov/Dec;12(6):489-492. doi: 10.1097/IMI.0000000000000421.
Surgical septal myectomy is the treatment of choice for patients with symptomatic hypertrophic obstructive cardiomyopathy refractory to medications. This report describes our minimally invasive approach for performing a septal myectomy via a ministernotomy that has been used at our institution for more than a decade. In particular, patient preparation, surgical technique, and clinical considerations are highlighted. Performed properly, this minimally invasive technique is a feasible and effective approach in our experience.
对于药物治疗无效的有症状肥厚性梗阻性心肌病患者，外科室间隔心肌切除术是首选治疗方法。本报告描述了我们通过微创胸骨切开术进行室间隔心肌切除术的方法，该方法已在我们机构使用了十多年。特别强调了患者准备、手术技术和临床注意事项。根据我们的经验，正确实施这种微创技术是一种可行且有效的方法。
