Myotomy Surgery Procedure ; Definition, Types, Techniques, Risks, complications скачать в хорошем качестве

Myotomy Surgery Procedure ; Definition, Types, Techniques, Risks, complications

Myotomy surgery, also known as septal myotomy, is a surgical procedure used to treat hypertrophic cardiomyopathy (HCM) and other conditions. The procedure involves: 1. Incision: A small incision is made in the chest to access the heart. 2. Cardiopulmonary bypass: The patient is connected to a heart-lung machine, which takes over the heart's pumping function. 3. Septal exposure: The surgeon exposes the thickened septal wall between the ventricles. 4. Myotomy: A small portion of the thickened septal muscle is carefully removed (myotomy) or shaved (myomectomy). 5. Septal reduction: The goal is to reduce the septal thickness and relieve obstruction. 6. Repair: The incision is closed, and the heart is restored to its normal function. Types of myotomy: 1. Morrow procedure: A classic myotomy technique. 2. Extended myotomy: A more extensive removal of septal muscle. 3. Septal ablation: Using alcohol or energy to destroy excess septal tissue. Indications: 1. Severe symptoms (e.g., chest pain, shortness of breath) 2. Significant septal hypertrophy 3. Outflow tract obstruction 4. Failed medical therapy Risks and complications: 1. Bleeding 2. Infection 3. Heart block 4. Valve damage 5. Death Myotomy surgery can improve symptoms, reduce obstruction, and enhance quality of life for patients with HCM and other conditions. However, it's essential to discuss the risks and benefits with a qualified healthcare professional. #Myotomy