- Academic Editor
-
-
-
†These authors contributed equally.
Background: Right ventricular
involvement in hypertrophic cardiomyopathy is uncommon. This study aimed to
evaluate clinical outcomes of the modified septal myectomy in patients diagnosed
with biventricular hypertrophic cardiomyopathy (BHCM), a subject seldom explored
in the literature. Methods:
We
conducted a retrospective cohort study from January 2019 to January 2023,
enrolling 12 patients with BHCM. Each patient underwent
a modified
septal myectomy and was followed
postoperatively. Clinical data and echocardiographic parameters, including the
ventricular outflow tract peak pressure gradient and maximum interventricular
septum thickness, were collected and analyzed. Results:
The study cohort had a median age of 43.0
(interquartile range 14.5–63.0) years at surgery, with four patients (33.3%)
being children. Two patients (16.7%) previously underwent percutaneous
transluminal septal myocardial ablation. Surgical relief of biventricular outflow
tract obstruction (BVOTO) was achieved in five patients (41.7%), aside from
those managed solely for left ventricular outflow tract obstruction. In five
instances, three-dimensional (3D) printing technology assisted in surgical
planning. The postoperative interventricular septum thickness was significantly
reduced (21.0 mm preoperative vs. 14.5 mm postoperative, p