Nonobstructive Hypertrophic Cardiomyopathy in a Patient With Mitral Prosthesis.

Sun, Daokun; Schaff, Hartzell V; Gersh, Bernard J; Borlaug, Barry A · Ann Thorac Surg · 2021

case_report · Level V

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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.

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