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Published byАндрей Храпов Modified over 5 years ago
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Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous mitral papillary muscles or chordae Kenji Minakata, MD, Joseph A Dearani, MD, Rick A Nishimura, MD, Barry J Maron, MD, Gordon K Danielson, MD The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 2, Pages (February 2004) DOI: /j.jtcvs
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Figure 1 New York Heart Association functional classes preoperatively and at late follow-up. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs )
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Figure 2 A (left), Classic left ventricular septal myectomy for hypertrophic obstructive cardiomyopathy. B (right), Extended left ventricular septal myectomy for anomalous papillary muscle with direct insertion into anterior mitral leaflet and also fusion to the septum. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs )
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Figure 3 A (left), Accessory papillary muscle arising from the anterior free wall with chordal attachments to the mitral leaflet and free wall. B (right), Anomalous chordae tendineae arising from a papillary muscle and inserting into the septum. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs )
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Figure 4 Probability of patient survival compared with expected survival of persons of the same age and sex (P = .08). The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs )
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