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二尖瓣假体患者的非梗阻性肥厚型心肌病。

Nonobstructive Hypertrophic Cardiomyopathy in a Patient With Mitral Prosthesis.

机构信息

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.

出版信息

Ann Thorac Surg. 2021 Jun;111(6):e429-e432. doi: 10.1016/j.athoracsur.2020.09.059. Epub 2020 Dec 8.

DOI:10.1016/j.athoracsur.2020.09.059
PMID:33307074
Abstract

Transapical septal myectomy can be performed for patients with nonobstructive hypertrophic cardiomyopathy and diastolic dysfunction to enlarge the LV cavity. The procedure may also include limited shaving of severely hypertrophied papillary muscles. This report illustrates the usefulness of papillary muscle resection to enlarge the left ventricle in a patient with nonobstructive hypertrophic cardiomyopathy and preexisting mitral valve prosthesis.

摘要

经心尖室间隔心肌切除术可用于治疗非梗阻性肥厚型心肌病伴舒张功能障碍的患者，以扩大左心室腔。该手术还可能包括对严重肥厚的乳头肌进行有限的削磨。本报告介绍了乳头肌切除术在 1 例非梗阻性肥厚型心肌病合并二尖瓣假体的患者中扩大左心室的有效性。

相似文献

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Nonobstructive Hypertrophic Cardiomyopathy in a Patient With Mitral Prosthesis.二尖瓣假体患者的非梗阻性肥厚型心肌病。
Ann Thorac Surg. 2021 Jun;111(6):e429-e432. doi: 10.1016/j.athoracsur.2020.09.059. Epub 2020 Dec 8.
2
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Myectomy and mitral repair through the left atrium in hypertrophic obstructive cardiomyopathy: the preferred approach for contemporary surgical candidates?经左心房行心肌切除术和二尖瓣修复术治疗肥厚型梗阻性心肌病：这是当代手术候选者的首选方法吗？
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Modified septal myectomy and repair of mitral valve apparatus for the treatment of hypertrophic cardiomyopathy.改良室间隔心肌切除术及二尖瓣装置修复术治疗肥厚型心肌病。
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Robotic trans-mitral septal myectomy and papillary muscle reorientation for HOCM combined with or without mitral valve repair: Technical aspects - How we do it.机器人二尖瓣间隔心肌切除术和乳头肌重定向治疗肥厚型梗阻性心肌病合并或不合并二尖瓣修复：技术方面——我们如何操作。
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引用本文的文献

1
Surgical management of diastolic heart failure after septal myectomy for obstructive hypertrophic cardiomyopathy.梗阻性肥厚型心肌病经室间隔心肌切除术后舒张性心力衰竭的外科治疗
JTCVS Tech. 2021 Nov 1;11:21-26. doi: 10.1016/j.xjtc.2021.10.050. eCollection 2022 Feb.