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Utility of Intraoperative Echocardiography in Planning Surgical Strategy in Obstructive Hypertrophic Cardiomyopathy

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Advances in Cardiomyopathies

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Abstract

Operative intervention has been an important part of the therapeutic strategy for patients with obstructive hypertrophic cardiomyopathy (HCM) for the past 30 years [1–16]. Cleland [1], in 1958, was the first to successfully perform a transaortic myectomy operation in a patient with this disease by resecting a small amount of muscle from the thickened upper portion of ventricular septum. Shortly thereafter, Morrow [2, 3] modified and refined the ventricular septal myotomy-myectomy operation (also known as left ventricular myotomy-myectomy, ventriculomyectomy, or the Morrow procedure), which he ultimately performed on 350 patients at the National Institutes of Health. Abouth the same time, in Toronto, Bigelow et al. [4] successfully pioneered the myotomy operation (ventriculomyotomy) which was similar to the myotomy-myectomy except that no muscle was ultimately removed from the ventricular septum.

Article Note

Adapted from C. L. McIntosh and B.J. Maron, Circulation 78:487–495, 1988, with permission of the American Heart Associaton.

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Authors
  1. B. J. Maron
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  2. G. Greenberg
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  3. C. L. McIntosh
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Editor information

Editors and Affiliations

  1. Istituto Fisiologia Clinica CNR, Dipartimento di Cardiologia A. De Gasperis, Ospedale Niguarda, Ca’ Granda, Piazza Ospedale Maggiore 3, 20612, Milan, Italy

    G. Baroldi M.D.

  2. Dipartimento di Cardiologia, Ospedale Maggiore, Piazza Ospedale 1, 34129, Trieste, Italy

    F. Camerini M.D.

  3. 2 Pine Grove, Lake Road, SW19 7HE, Wimbledon, London, UK

    J. F. Goodwin M.D.

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© 1990 Springer-Verlag Berlin Heidelberg

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Maron, B.J., Greenberg, G., McIntosh, C.L. (1990). Utility of Intraoperative Echocardiography in Planning Surgical Strategy in Obstructive Hypertrophic Cardiomyopathy. In: Baroldi, G., Camerini, F., Goodwin, J.F. (eds) Advances in Cardiomyopathies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83760-9_14

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  • DOI: https://doi.org/10.1007/978-3-642-83760-9_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83762-3

  • Online ISBN: 978-3-642-83760-9

  • eBook Packages: Springer Book Archive

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