Post-operative management of hypertrophic obstructive cardiomyopathy

Asian Cardiovasc Thorac Ann. 2022 Jan;30(1):57-63. doi: 10.1177/02184923211069189. Epub 2022 Feb 15.

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.

Keywords: Hypertrophic obstructive cardiomyopathy; intensive care; myectomy; post-operative.

Publication types

  • Review

MeSH terms

  • Cardiac Surgical Procedures* / adverse effects
  • Cardiomyopathy, Hypertrophic* / complications
  • Cardiomyopathy, Hypertrophic* / diagnostic imaging
  • Cardiomyopathy, Hypertrophic* / surgery
  • Heart Septum / surgery
  • Humans
  • Treatment Outcome
  • Ventricular Dysfunction, Left* / etiology