Ponoth P, Kerr A, Raudkivi P J, Grahm K, Hydock D, Milson P
Department of Cardiothoracic Surgery, Green Lane Hospital, Auckland, New Zealand.
J Card Surg. 1997 Sep-Oct;12(5):294-9. doi: 10.1111/j.1540-8191.1997.tb00142.x.
Between 1977 and 1994, 42 patients were treated surgically for hypertrophic obstructive cardiomyopathy (HOCM). Patients have been followed up between 2 months to 17 years, mean of 107 months. There were 26 (62%) males and 16 (38%) females. There was only one pediatric case. There was no correlating factor among the ethnic groups (Maori, European, Indian, Asian, etc.). Family history was noted in 12% of the cases. Seventy-one percent of patients had aortic/left ventricular (LV) combined approach while 29% had aortic approach alone at the time of surgery. Five patients underwent other procedures, along with coronary artery bypass grafting in 3, mitral valve replacement in 1, and aortic valve replacement in 1. Persistent postoperative arrhythmias were found in 7 cases, atrial fibrillation (AF) in 3, and left bundle branch block in 4.
1977年至1994年间，42例肥厚性梗阻性心肌病（HOCM）患者接受了手术治疗。患者的随访时间为2个月至17年，平均107个月。其中男性26例（62%），女性16例（38%）。仅1例儿科病例。各民族（毛利人、欧洲人、印度人、亚洲人等）之间无相关因素。12%的病例有家族病史。71%的患者在手术时采用主动脉/左心室联合入路，而29%的患者仅采用主动脉入路。5例患者接受了其他手术，其中3例同时行冠状动脉旁路移植术，1例行二尖瓣置换术，1例行主动脉瓣置换术。术后发现7例持续性心律失常，3例为心房颤动（AF），4例为左束支传导阻滞。
