[Comprehensive left ventricular outflow tract reconstruction in hypertrophic cardiomyopathy].

OBJECTIVE

To describe the concept of comprehensive left ventricular outflow tract reconstruction based on eliminating all obstructive mechanisms.

MATERIAL AND

METHODS

The authors analyzed own experience of left ventricular outflow tract reconstruction in patients with hypertrophic cardiomyopathy (over 400 surgeries).

RESULTS

Complex left ventricular outflow tract reconstruction involves resection of interventricular septum and correction of papillary muscles, chordae tendineae and accessory muscle bundles. The described approach demonstrates high efficacy and safety and can be considered a modern standard.

CONCLUSION

A personalized approach based on precise myectomy allows for optimal hemodynamic outcomes with minimal risk of complications.