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Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous mitral papillary muscles or chordae  Kenji Minakata, MD, Joseph A.

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Presentation on theme: "Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous mitral papillary muscles or chordae  Kenji Minakata, MD, Joseph A."— Presentation transcript:

1 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

2 Figure 1 New York Heart Association functional classes preoperatively and at late follow-up. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /j.jtcvs )

3 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 )

4 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 )

5 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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