The surgical treatment’s results of hypertrophic obstructive cardiomyopathy. The experience in republic of Moldova

Abstract

Introduction: Hypertrophic obstructive cardiomyopathy is a genetic disease, autosomal dominant, characterized by ventricular myocardial hypertrophy, predominantly of the interventricular septum, with variable prodromes, often tempered, but involving a high incidence of sudden death. Global morbidity in adult society is averaging between 0.02-0.023%. In Moldova a complex surgical approaches in the treatment of HOCM has a history of about 5 years. It is steadily improving surgical techniques, being in touch with international protocols. The aim of study: Presentation of national standards for complex surgical treatment of HOCM, familiarizing specialists from related fields of cardiac surgery (cardiologists, radiologists, general doctors), regarding the possibilities of surgical correction of HOCM. Material and methods: During 2011-2016, in the Republican Clinical Hospital and International Hospital Medpark underwent surgery 32 patients, average age - 52.3 years. Postoperative period complicated with ischemic stroke - 1 patient, postoperative hemorrhage - 1 patient. The mean duration of hospitalization was 9.5 days. Conclusions: The latest medical literature, relying on complex randomized studies unanimously are telling us that "gold" standard in HOCM treatment remains only radical surgical. The surgical approach in HOCM in combination with complex valvular correction, solves the problem of TEVS obstruction, but also decrease systolic anterior motion of the mitral valve and abolish it regurgitation.