Septal myectomy

Septal Myectomy is a surgical procedure performed to treat hypertrophic cardiomyopathy, a condition characterized by the thickening of the heart muscle. This procedure involves the removal of a part of the thickened heart muscle to improve blood flow and reduce outflow tract obstruction.

Indications

Septal myectomy is indicated for patients with hypertrophic cardiomyopathy who have severe symptoms that are not responsive to medication. These symptoms may include chest pain, shortness of breath, fainting, and arrhythmias. The procedure is also indicated for patients who have a significant outflow tract obstruction.

Procedure

During a septal myectomy, the surgeon makes an incision in the chest to access the heart. The thickened muscle in the septum, the wall that separates the left and right sides of the heart, is then removed. This improves blood flow out of the heart and reduces symptoms.

Risks

As with any surgical procedure, septal myectomy carries risks. These may include bleeding, infection, arrhythmias, and complications from anesthesia. There is also a risk of damage to the heart's electrical system, which could require the placement of a pacemaker.

Recovery

Recovery from septal myectomy typically involves a stay in the hospital for several days. Full recovery can take several weeks. Patients will need to avoid strenuous activity during this time and will likely need to take medications to manage symptoms and prevent complications.

See Also

• Hypertrophic Cardiomyopathy
• Cardiac Surgery
• Heart Muscle
• Outflow Tract Obstruction