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Hypertrophic Cardiomyopathy (HCM)

Cardiomyopathy is occurring because of the abnormal heart muscle. Cardiomyopathy is classified into three main types: restrictive cardiomyopathy, dilated cardiomyopathy, hypertrophic myopathy. Cardiomyopathy, makes heart challenging to pump and deliver blood to the rest of your body. With times, it leads to cardiac arrest. 

Hypertrophic obstructive cardiomyopathy (HOCM) is a disease in that the muscles of the heart becomes thickened. When the muscular septum of the heart becomes too think, it starts to obstruct the pump out blood from the heart to rest of the body, and eventually might cause the mitral valve leaky (regurgitation).

Hypertrophic obstructive cardiomyopathy is a genetic disease that generally runs in families, but can also occur spontaneously in people without a family history. Symptoms include shortness of breath, light-headedness, chest pain, palpitations, and fatigue. It is a common cause of sudden unexplained death, especially in young people.

Although the causes of cardiomyopathy are not known, there are some factors that could contribute to it: 

  • Problems in the valves of the heart
  • Obesity or thyroid malfunctioning or diabetes
  • Genetic conditions
  • High blood pressure for long durations
  • Excessive consumption of alcohol, cocaine or steroids
  • Complicated pregnancy
  • Disorders in connective tissues
  • Chemotherapy and cancer medication
  • Hemochromatosis – Iron buildup in muscles of the heart
  • Sarcoidosis – Inflammation and growth of cell lumps in the heart
  • Amyloidosis - A disorder that causes the accumulation of abnormal proteins
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Septal myectomy for Hypertrophic Cardiomyopathy of Heart

The operation for HOCM is called septal myectomy. Septal myectomy is performed in patients who have symptoms despite medical therapy, or if the obstruction severely restricts blood ejection from the heart. Patients often experience rapid relief of symptoms after the procedure, and the effects are long-lasting. 

A septal myectomy is an open-heart procedure in which the surgeon removes part of the thickened, overgrown septum between the ventricles. Removing part of this thick muscle improves blood flow and reduces mitral regurgitation.

Septal myectomy is the procedure of choice for treating hypertrophic cardiomyopathy (HCM). However, it involves the risk of incomplete resection of septal muscles or iatrogenic septal perforation depending on the surgeon’s practice. Herein, we suggest a few tips for successful septal myectomy and present a relevant case.

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Top Doctors In India For Septal myectomy for Hypertrophic Cardiomyopathy of Heart

Dr. Murtaza Ahmad Chishti

35 years of experience , Gurugram, Delhi/NCR, India

Dr. Surinder Bazaz

40 years of experience , Gurugram, Delhi/NCR, India

Dr. Vinayak Aggarwal

24 years of experience , Gurugram, Delhi/NCR, India

Dr. Vijay Kumar Chopra

42 years of experience , Gurugram, Delhi/NCR, India

Top Hospitals In India For Septal myectomy for Hypertrophic Cardiomyopathy of Heart

Frequently Asked Questions (Septal myectomy for Hypertrophic Cardiomyopathy of Heart)

 What are the symptoms of HCM (hypertrophic cardiomyopathy)? What do you mean by Septal Myectomy?  Why might I need it?  Is there any risk involved in Septal Myectomy?  How should I get ready for it?