Abstract
A deeper understanding of the anatomy of the heart in HCM has been made possible by the development of echocardiography and MRI. In this regard, the surgical tactics of treatment of this category of patients have also changed. The role of the MV and the subvalvular apparatus in the development of the LVOT obstruction became obvious. Neglect of this mechanism of obstruction can lead to an incorrect choice of the surgical treatment tactic. The analysis of modern publications on the methods of surgical correction of MN and SAM-syndrome in patients with various variants of the anatomy of HCM is fulfilled. This paper uses materials from 22 foreign and 7 russian publications. There are a lot of variants of abnormal morphology of the MV and the subvalvular apparatus in HCM. A thorough diagnosis is required at the preoperative stage, which, along with routine examination methods, should include transesophageal echocardiography and MRI of the heart. The surgical approach in each case should be individual, and its choice should be based on diagnostic data and existing experience in the treatment of this variant of pathology. It is necessary to continue a detailed study of the long-term results of surgical treatment of HOCMP with MN and SAMsyndrome in order to form clearer recommendations.
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About the authors
- Vasily V. Belsky, Reseacher; ORCID
- Marina I. Berseneva, Cand. Med. Sci., Head of Department; ORCID
- Dmitry A. Malenkov, Reseacher; ORCID
- Alina A. Khugaeva, Reseacher; ORCID
- Leo A. Boсkeria, Academician of RAS and RAMS, President, ORCID
