It is for this last reason that we have proposed adding an anterior leaflet horizontal plication, when necessary, to the operative management of HCM, along with an extended myectomy
and papillary muscle release (11).
Effect of isolated inferior oblique muscle myectomy
in the management of superior oblique muscle palsy.
Several factors influence the reporting of outcomes for these surgical patients: (1) The numbers of patients who present for surgery are small, even in large referral centers; (2) The surgical technique of myectomy
can be challenging for surgeons unfamiliar with this disease; (3) Patient access to therapeutic options may be influenced by physician referral patterns.
In a series that looked at 1337 patients with HCM over a follow up period of 6 [+ or -] 6 years (19), among 228 patients who had obstruction but did not undergo operation 25% had AF, whereas only 20% of the 289 patients who underwent myectomy
had AF at the end of the follow up period (p < 0.05).
In addition, in young patients, its use is of more concern, as it is highly unpredictable and because myectomy
is more effective.
For example, the low incidence of SCD after myectomy
would make the necessity of ICD implantation debatable for patients undergoing surgery.
It is used in patients who would otherwise require septal myectomy
or other interventions.
Park, "Concomitant septal myectomy
at the time of aortic valve replacement for severe aortic stenosis," The Annals of Thoracic Surgery, vol.
In this study, we present the outcomes of unilateral IO myectomy
in patients with SOP-associated IOOA.
Even if the disease cannot be cured, there are still treatments that can keep cardiomyopathy under control: lifestyle changes, medication (for high blood pressure or heart failure, beta-blockers to control the heart beats, anticoagulants or diuretics to prevent parts of the body to swallow from the excess fluid) or surgeries (injection of alcohol into the patient's heart in order to decrease the size of the muscle found in the septum of the heart, or a septal myectomy
in which the same muscle's size is reduced by surgically removing a part of it.
Surgical Treatment: A variety of surgical techniques have been used effectively, including orbicularis oculi myectomy
, levator aponeurosis resection, and lateral canthopexy.
If conservative treatment fails, surgical interventions like botulinum toxin injection, sacral nerve stimulation, or detrusor myectomy
are recommended as further options (Toozs-Hobson 2010).