Surgical Treatment of Hypertrophic Obstructive Cardiomyopathy With Severe Mitral Insufficiency.
Surgical Treatment of Hypertrophic Obstructive Cardiomyopathy With Severe Mitral Insufficiency.
Compare the results of reconstruction and mitral valve replacement in the surgical treatment
 of obstructive hypertrophic cardiomyopathy with severe mitral insufficiency.
Many years myoectomy for Morrow was the gold standard in the treatment of obstructive
 hypertrophic cardiomyopathy. Currently more retrospective data in the literature about the
 good results the extended septal myectomy. But the question remains what is best for patients
 with obstructive hypertrophic cardiomyopathy and severe mitral insufficiency: use extended
 myoectomy with mitral valve repair a or replacement.
Inclusion Criteria:

 -  Able to sign Informed Consent and Release of Medical Information forms

 -  Age ≥ 18 years

 -  obstructive hypertrophic cardiomyopathy

 -  surgically significant mitral insufficiency

 -  II-IV (NYHA),

 -  average systolic pressure gradient greater than 50 mm Hg. Art. at rest;

 -  basal or medium ventricular obstruction

 Exclusion Criteria:

 -  Related defect of the aortic valve;

 -  Organic mitral valve disease (dysplasia, rheumatic fever, infective endocarditis);

 -  Surgically significant coronary artery lesions;

 -  Patients requiring implantation of a cardioverter-defibrillator