外科室间隔切除术改善梗阻性肥厚型心肌病患者症状和预后文献综述

Surgical septal myectomy improves the symptom and prognosis of patients with obstructive hypertrophic cardiomyopathy:a review

外科室间隔切除术(SSM)应用于严重梗阻性肥厚型心肌病(HCM)患者的治疗已经有60多年历史,酒精室间隔消融术(ASA)应用于梗阻性HCM的治疗也有近30年时间。本文就SSM手术方式及并发症,在改善左心室压差、临床症状方面的获益,降低疾病死亡率及猝死率等方面进行综述,并与ASA进行对比。

Surgical septal myectomy(SSM)has been used for the treatment of patients with severe obstructive hypertrophic cardiomyopathy(HCM)for more than 60 years,and alcohol septal ablation(ASA)has been used for the treatment of obstructive HCM for nearly 30 years.In this paper,the surgical methods and complications of SSM,the benefits of improving left ventricular pressure gradient and clinical symptoms,and the reduction of disease mortality and sudden death rate were reviewed,and compared with ASA.