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European Journal of Cardio-Thoracic Surgery, Vol 3, 20-25, Copyright © 1989 by European Association for Cardio-thoracic Surgery


ARTICLES

Hypertrophic obstructive cardiomyopathy. Late follow-up after ventricular myotomy-myectomy

VS Luisi, S Giusti, E Reginato, A Pasque, G Grieco and G Azzolina
Department of Pediatric Cardiothoracic Surgery, Massa Hospital, Italy.

A series of 25 patients with hypertrophic obstructive cardiomyopathy, isolated or associated with minor anomalies, were operated upon using a modified Morrow's procedure. The indication for operation was based on either the presence of severe symptoms despite treatment with beta- blocking agents, or a significant peak gradient of over 50 mmHg even in asymptomatic patients. All patients survived and none was lost to follow-up. Long-term results were evaluated with 2-dimensional echocardiography. Surgical versus pharmacological treatment is discussed, with particular consideration given to paediatric patients.





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Copyright © 1989 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.