MV Surgery as Adjunct to Surgical Myectomy for Obstructive HCM Less Is More Than Enough ∗

Hypertrophic cardiomyopathy (HCM) is characterized by unexplained usually asymmetrical cardiac hypertrophy with variable degrees of myocardial fiber disarray and fibrosis. Although there was initial controversy about whether true obstruction to the left ventricular outflow tract (LVOT) existed, it is now accepted as an important hallmark of the condition. About one-third of HCM patients have resting left ventricular outflow tract obstruction (LVOTO) with >30 mm Hg gradients at rest. About another one-third of patients have gradients 

http://ift.tt/2dmHKBb