Hypertrophic cardiomyopathy surgery

Hypertrophic Cardiomyopathy Microchapters
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Editors-In-Chief: C. Michael Gibson, M.S., M.D. [1], Cafer Zorkun, M.D. [2], Caitlin J. Harrigan [3], Martin S. Maron, M.D., and Barry J. Maron, M.D.

Cardiac transplantation

Cardiac transplantation can be performed in patients with HOCM and has been associated with better post-operative survival than those patients transplanted for ischemic cardiomyopathy .

In cases that are refractory to all other forms of treatment, cardiac transplantation is an option.

2011 ACCF/AHA Guideline Recommendations for Selection of Patients for Heart Transplantation (DO NOT EDIT)

“

Class I 1. Patients with advanced heart failure (end stage) and nonobstructive HCM not otherwise amenable to other treatment interventions, with EF less than or equal to 50% (or occasionally with preserved EF), should be considered for heart transplantation. 2. Symptomatic children with HCM with restrictive physiology who are not responsive to or appropriate candidates for other therapeutic interventions should be considered for heart transplantation. Class III (Harm) 1. Heart transplantation should not be performed in mildly symptomatic patients of any age with HCM.

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