The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 634-640 , March 2010

Apical myectomy: A new surgical technique for management of severely symptomatic patients with apical hypertrophic cardiomyopathy

Read at the Eighty-ninth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 9–13, 2009.

  • Hartzell V. Schaff, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
    • Corresponding Author InformationAddress for reprints: Hartzell V. Schaff, MD, Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
    • ,
  • Morgan L. Brown, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Joseph A. Dearani, MD

      Affiliations

    • Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn
    • ,
  • Martin D. Abel, MD

      Affiliations

    • Division of Cardiovascular and Thoracic Anesthesia, Mayo Clinic, Rochester, Minn
    • ,
  • Steve R. Ommen, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn
    • ,
  • Paul Sorajja, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn
    • ,
  • A. Jamil Tajik, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Ariz
    • ,
  • Rick A. Nishimura, MD

      Affiliations

    • Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn

Received 8 May 2009 ,Revised 10 June 2009 ,Accepted 5 July 2009.

References 

  1. Sakamoto T, Tei C, Murayama M, Ichiyasu H, Hada Y. Giant T wave inversion as a manifestation of asymmetrical apical hypertrophy (AAH) of the left ventricle. Echocardiographic and ultrasono-cardiotomographic study. Jpn Heart J. 1976;17:611–629
  2. Yamaguchi H, Ishimura T, Nishiyama S, Nagasaki F, Nakanishi S, Takatsu F, et al. Hypertrophic nonobstructive cardiomyopathy with giant negative T waves (apical hypertrophy): ventriculographic and echocardiographic features in 30 patients. Am J Cardiol. 1979;44:401–412
  3. Maron BJ, Bonow RO, Seshagiri TN, Roberts WC, Epstein SE. Hypertrophic cardiomyopathy with ventricular septal hypertrophy localized to the apical region of the left ventricle (apical hypertrophic cardiomyopathy). Am J Cardiol. 1982;49:1838–1848
  4. Maron BJ, Louie EK. Apical hypertrophic cardiomyopathy: a view from the U.S.A. J Cardiogr. 1986;16:513–517
  5. Louie EK, Maron BJ. Apical hypertrophic cardiomyopathy: clinical and two-dimensional echocardiographic assessment. Ann Intern Med. 1987;106:663–670
  6. Webb JG, Sasson Z, Rakowski H, Liu P, Wigle ED. Apical hypertrophic cardiomyopathy: clinical follow-up and diagnostic correlates. J Am Coll Cardiol. 1990;15:83–90
  7. Koga Y, Itaya K, Toshima H. Prognosis in hypertrophic cardiomyopathy. Am Heart J. 1984;108:351–359
  8. Keren G, Belhassen B, Sherez J, Miller HI, Megidish R, Berenfeld D, et al. Apical hypertrophic cardiomyopathy: evaluation by noninvasive and invasive techniques in 23 patients. Circulation. 1985;71:45–56
  9. Bertrand ME, Tilmant PY, Lablanche JM, Thieuleux FA. Apical hypertrophic cardiomyopathy: clinical and metabolic studies. Eur Heart J. 1983;4:127–133
  10. Lee CH, Liu PY, Lin LJ, Chen JH, Tsai LM. Clinical features and outcome of patients with apical hypertrophic cardiomyopathy in Taiwan. Cardiology. 2006;106:29–35
  11. Eriksson MJ, Sonnenberg B, Woo A, Rakowski P, Parker TJ, Wigle ED, et al. Long-term outcome in patients with apical hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;39:638–645
  12. Abinader EG. Long-term outcome in patients with apical hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;40:837–838
  13. Ridjab D, Koch M, Zabel M, Schultheiss HP, Morguet AJ. Cardiac arrest and ventricular tachycardia in Japanese-type apical hypertrophic cardiomyopathy. Cardiology. 2007;107:81–86
  14. Maron BJ, Bonow RO, Cannon RO, Leon MB, Epstein SE. Hypertrophic cardiomyopathy. Interrelations of clinical manifestations, pathophysiology, and therapy (1). N Engl J Med. 1987;316:780–789
  15. Maron BJ, Bonow RO, Cannon RO, Leon MB, Epstein SE. Hypertrophic cardiomyopathy. Interrelations of clinical manifestations, pathophysiology, and therapy (2). N Engl J Med. 1987;316:844–852
  16. Maron BJ, Spirito P, Green KJ, Wesley YE, Bonow RO, Arce J. Noninvasive assessment of left ventricular diastolic function by pulsed Doppler echocardiography in patients with hypertrophic cardiomyopathy. J Am Coll Cardiol. 1987;10:733–742
  17. Wigle ED, Sasson Z, Henderson MA, Ruddy TD, Fulop J, Rakowski H, et al. Hypertrophic cardiomyopathy. The importance of the site and the extent of hypertrophy. A review. Prog Cardiovasc Dis. 1985;28:1–83
  18. Wigle ED. Hypertrophic cardiomyopathy: a 1987 viewpoint. Circulation. 1987;75:311–322
  19. Bonow RO, Rosing DR, Bacharach SL, Green MV, Kent KM, Lipson LC, et al. Effects of verapamil on left ventricular systolic function and diastolic filling in patients with hypertrophic cardiomyopathy. Circulation. 1981;64:787–796
  20. Rosing DR, Kent KM, Maron BJ, Epstein SE. Verapamil therapy: a new approach to the pharmacologic treatment of hypertrophic cardiomyopathy. II. Effects on exercise capacity and symptomatic status. Circulation. 1979;60:1208–1213
  21. Sherrid MV, Barac I, McKenna WJ, Elliott PM, Dickie S, Chojnowska L, et al. Multicenter study of the efficacy and safety of disopyramide in obstructive hypertrophic cardiomyopathy. J Am Coll Cardiol. 2005;45:1251–1258
  22. Wigle ED. Impaired left ventricular relaxation in hypertrophic cardiomyopathy: relation to extent of hypertrophy. J Am Coll Cardiol. 1990;15:814–815
  23. Panidis IP, Nestico P, Hakki AH, Mintz GS, Segal BL, Iskandrian AS. Systolic and diastolic left ventricular performance at rest and during exercise in apical hypertrophic cardiomyopathy. Am J Cardiol. 1986;57:356–358
  24. Yamakado T, Hayashi T, Ohkubo S, Fukui A, Murayama S, Mori S, et al. Left ventricular diastolic function in apical hypertrophic cardiomyopathy. J Cardiol. 1992;22:107–112
  25. Cannon RO, Tripodi D, Dilsizian V, Panza JA, Fananapazir L. Results of permanent dual-chamber pacing in symptomatic nonobstructive hypertrophic cardiomyopathy. Am J Cardiol. 1994;73:571–576
  26. Biagini E, Spirito P, Leone O, Picchio FM, Coccolo F, Ragni L, et al. Heart transplantation in hypertrophic cardiomyopathy. Am J Cardiol. 2008;101:387–392

 Disclosures: None.

PII: S0022-5223(09)01424-X

doi: 10.1016/j.jtcvs.2009.07.079

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 634-640 , March 2010

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