Abstract
Idiopatic hypertrophic subaortic stenosis (IHSS) is a type of obstructive cardiomyopathy that causes aortic outflow tract obstruction during systole. Moreover, the anterior leaflet can be shifted toward the hypertrophied septum creating, more outflow obstruction and concomitant mitral insufficiency. Traditional IHSS has been treated surgically through the aortic valve. In this chapter, we describe a robotic trans-atrial left approach to perform a large septal myectomy with concomitant mobilization of anterior papillary muscle and mitral valve reconstruction. Robotic methods provide ideal septal and valve exposure as well as superior visualization and ergonomic access.
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References
Morrow AG. Hypertrophic subaortic stenosis. Operative methods utilized to relieve left ventricular outflow obstruction. J Thorac Cardiovasc Surg. 1978;76:423–30.
Casselman F, Vanermen H. Idiopathic hypertrophic subaortic stenosis can be treated endoscopically. J Thorac Cardiovasc Surg. 2002;124:1248–9.
Chitwood WR. Idiopathic hypertrophic subaortic septal obstruction: robotic transatrial and transmitral ventricular septal resection. Op Tech Thorac Cardiovasc Surg. 2012;17:251–60.
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© 2014 Springer-Verlag London
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Chitwood, W.R. (2014). Robotic Trans-mitral Septal Myectomy with Mitral Repair for Asymmetric Ventricular Septal Hypertrophy with Systolic Mitral Anterior Leaflet Motion. In: Chitwood, Jr., W. (eds) Atlas of Robotic Cardiac Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6332-9_31
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DOI: https://doi.org/10.1007/978-1-4471-6332-9_31
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Publisher Name: Springer, London
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Online ISBN: 978-1-4471-6332-9
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