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Role of Preoperative Cardiovascular Magnetic Resonance in Planning Ventricular Septal Myectomy in Patients With Obstructive Hypertrophic Cardiomyopathy

التفاصيل البيبلوغرافية
العنوان: Role of Preoperative Cardiovascular Magnetic Resonance in Planning Ventricular Septal Myectomy in Patients With Obstructive Hypertrophic Cardiomyopathy
المؤلفون: Massimiliano Grillo, Paolo Ferrazzi, Maria Iascone, Lucian Dorobantu, Laura Pezzoli, Irene Binaco, Toufic Khouri, Giuseppe Vaccari, Aleksei Zyrianov, Daniele Poggio, Andrea Mortara, Paolo Bruzzi, Jessica Rossi, Dmitri Malanin, Paolo Spirito
المصدر: The American Journal of Cardiology. 123:1517-1526
بيانات النشر: Elsevier BV, 2019.
سنة النشر: 2019
مصطلحات موضوعية: Male, Septal morphology, medicine.medical_specialty, Cardiomyopathy, Magnetic Resonance Imaging, Cine, Ventricular Septum, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, medicine, High spatial resolution, Humans, In patient, cardiovascular diseases, 030212 general & internal medicine, Cardiac Surgical Procedures, Ventricular septal myectomy, Retrospective Studies, medicine.diagnostic_test, business.industry, Reproducibility of Results, Magnetic resonance imaging, Cardiomyopathy, Hypertrophic, Middle Aged, medicine.disease, Septal myectomy, Preoperative Period, Cardiology, Female, Obstructive hypertrophic cardiomyopathy, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies
الوصف: In obstructive hypertrophic cardiomyopathy (HC), extreme heterogeneity of septal morphology makes septal myectomy particularly challenging. Although cardiovascular magnetic resonance (CMR) reconstructs ventricular anatomy with high spatial resolution, CMR is not used systematically to plan preoperatively septal myectomy. In this study, we report our results with using CMR to plan the extent of septal excision in 112 consecutive HC patients who subsequently underwent myectomy. Depth and length of the myectomy planned at CMR were compared with those of the septal muscle excised in a single piece in all patients. Anterior septum maximal thickness at CMR was 22 ± 5 mm and excised muscle thickness 9 ± 3 mm. Planned myectomy length was 35 ± 11 mm (range 17 to 65) and excised muscle length 38 ± 10 mm (range 10 to 70), indicating extension of septal resection to mid-cavity. Thickness and length of the planned myectomy showed a significant correlation with the excised muscle (R2 = 0.345; p
تدمد: 0002-9149
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ce8faf5a47a3674e8ceda106b9c287dc
https://doi.org/10.1016/j.amjcard.2019.01.041
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....ce8faf5a47a3674e8ceda106b9c287dc
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00029149