PMID- 16421972
OWN - NLM
STAT- MEDLINE
DCOM- 20060517
LR  - 20181113
IS  - 1673-1581 (Print)
IS  - 1673-1581 (Linking)
VI  - 7
IP  - 2
DP  - 2006 Feb
TI  - Surgical outcomes and strategy of hypertrophic obstructive cardiomyopathy.
PG  - 148-53
AB  - OBJECTIVE: To evaluate the surgical clinical results of hypertrophic obstructive 
      cardiomyopathy. METHODS: We retrospectively collected data on 24 patients who 
      underwent surgical management in the past ten years in two hospitals in China and 
      Madras Medical Mission in India. Myomectomy was carried out on all patients. 
      Among them 3 patients underwent mitral valve replacement; 2 patients underwent 
      mitral valve repair (anterior mitral leaflet plication); 2 patients underwent 
      aortic valve replacement; 1 patient underwent aortic valve repair; 2 patients 
      underwent aortic root replacement; 1 patient underwent Bentall's procedure and 1 
      patient underwent coronary artery bypass grafting because of a breached muscle 
      bridge. RESULTS: One patient died of post-operative heart failure. The mean 
      follow-up time was 4.3 years. There was significant improvement in the 
      symptomatic status. Sixteen patients were asymptomatic with good effort tolerance 
      and only four patients had New York heart association (NYHA) Classes I-II due to 
      associated valvular lesions. CONCLUSION: Our experience proved that symptomatic 
      hypertrophic obstructive cardiomyopathy or non-symptomatic hypertrophic 
      obstructive cardiomyopathy with combined heart disease is indication for surgery 
      as surgical intervention could get better clinical results in this kind of 
      patients compared with other non-surgical method because it beneficially reduces 
      the systolic anterior motion (SAM) of the mitral valve leaflet, which could not 
      be avoided by other non-surgical treatment.
FAU - Zhu, Ya-bin
AU  - Zhu YB
AD  - Department of Thoracic and Cardiovascular Surgery, Affiliated Su Bei Hospital, 
      Yangzhou University, Yangzhou 225001, China. b4878375@163.com
FAU - Rajan, S
AU  - Rajan S
FAU - Kurian, V M
AU  - Kurian VM
FAU - Liu, Zhi-yong
AU  - Liu ZY
LA  - eng
PT  - Journal Article
PL  - China
TA  - J Zhejiang Univ Sci B
JT  - Journal of Zhejiang University. Science. B
JID - 101236535
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aortic Valve/surgery/transplantation
MH  - *Cardiac Surgical Procedures
MH  - Cardiomyopathy, Hypertrophic/*surgery
MH  - China
MH  - Coronary Artery Bypass
MH  - Female
MH  - Heart Valve Prosthesis
MH  - Heart Valve Prosthesis Implantation/*methods
MH  - Humans
MH  - India
MH  - Male
MH  - Middle Aged
MH  - Mitral Valve/pathology/surgery/transplantation
MH  - Treatment Outcome
PMC - PMC1363760
EDAT- 2006/01/20 09:00
MHDA- 2006/05/18 09:00
PMCR- 2006/02/01
CRDT- 2006/01/20 09:00
PHST- 2006/01/20 09:00 [pubmed]
PHST- 2006/05/18 09:00 [medline]
PHST- 2006/01/20 09:00 [entrez]
PHST- 2006/02/01 00:00 [pmc-release]
AID - 10.1631/jzus.2006.B0148 [doi]
PST - ppublish
SO  - J Zhejiang Univ Sci B. 2006 Feb;7(2):148-53. doi: 10.1631/jzus.2006.B0148.