Post-operative management of hypertrophic obstructive cardiomyopathy

Author:

Mitra Saikat1,Ramanathan Kollengode2ORCID,MacLaren Graeme2ORCID

Affiliation:

1. Department of Intensive Care, Lyell McEwin Hospital, Adelaide, Australia

2. Department of Cardiac, Thoracic, and Vascular Surgery, Cardiothoracic ICU, National University Hospital, Singapore, Singapore

Abstract

Hypertrophic obstructive cardiomyopathy patients are at increased risk of sudden cardiac arrest due to dynamic left ventricular outflow tract obstruction, myocardial ischaemia and arrhythmias. Septal myectomy remains the gold standard therapy for patients with hypertrophic obstructive cardiomyopathy (HOCM) refractory to other therapy. This review comprehensively focuses on the post-operative management and complications of HOCM patients undergoing surgical correction. Although these patients are at risk of various perioperative complications from anaesthesia and surgery due to the underlying complexity of their disease, surgical myectomy is associated with excellent long-term outcomes if carried out in experienced centers.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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