{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:50:50Z","timestamp":1782226250536,"version":"3.54.5"},"reference-count":3,"publisher":"Galenos Yayinevi","issue":"4","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2024,9,29]]},"published-print":{"date-parts":[[2024,11,1]]},"abstract":"\n Objective:<\/jats:bold>\n This study aimed to share our surgical experience of patients with hypertrophic cardiomyopathy (HCM) treated successfully with surgical myectomy at a tertiary center that frequently utilizes minimally invasive approaches in clinical practice.\n <\/jats:p>\n \n Methods:<\/jats:bold>\n This study was conducted with eight patients (5 males, 3 females; mean age: 49.2\u00b112.5 years) patients who underwent surgery for HCM between 2017 and 2024.\n <\/jats:p>\n \n Results:<\/jats:bold>\n All patients were symptomatic. Four of the patients had concomitant mitral valve pathologies requiring surgery, with one patient also having aortic valve pathology. Preoperative mean gradients were 49.1\u00b122.8 mmHg at rest and 102.8\u00b127.2 mmHg with the Valsalva maneuver. One surgery was performed via sternotomy. Two patients were operated on with anterolateral thoracotomy technique and five with a minimally invasive robotic approach. Four patients underwent isolated myectomy. The mean cardiopulmonary bypass time was 165.5\u00b153.8 min, and the mean cross-clamp time was 112.1\u00b142.5 min. No intraoperative complications were observed. A third-degree atrioventricular block, which was treated with an implantable cardioverter-defibrillator, was the only postoperative complication. The mean hospital stay was 7.5\u00b12 days, with a mean intensive care unit stay of 2.38\u00b11.77 days.\n <\/jats:p>\n \n Conclusion:<\/jats:bold>\n Hypertrophic cardiomyopathy is a genetic cardiac disorder with a heterogeneous spectrum of clinical manifestations. Septal reduction therapies are the primary treatment for patients. Septal myectomy has been shown to be effective, providing a reduction in outflow tract gradient and symptoms. Currently, myectomy is the recommended treatment for HCM, and it can be performed via conventional median sternotomy or minimally invasive approaches.\n <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2024.msb-12","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T08:48:54Z","timestamp":1745830134000},"page":"30-30","source":"Crossref","is-referenced-by-count":0,"title":["[MSB-12] Our Clinical Experience with Septal Myectomy in Hypertrophic Cardiomyopathy Patients"],"prefix":"10.4274","volume":"32","author":[{"given":"Furkan","family":"Burak Akyol","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kadan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuna","family":"Demirk\u0131ran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tayfun","family":"\u00d6zdem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"Kubat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kubilay","family":"Karabacak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Maron MS, Olivotto I, Zenovich AG, Link MS, Pandian NG, Kuvin JT, et al. Hypertrophic cardiomyopathy is predominantly a disease of left ventricular outflow tract obstruction. Circulation 2006;114:2232-9. doi: 10.1161\/CIRCULATIONAHA.106.644682.","DOI":"10.1161\/CIRCULATIONAHA.106.644682"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Ommen SR, Mital S, Burke MA, Day SM, Deswal A, Elliott P, et al. 2020 AHA\/ACC Guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy: A report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol 2020;76:e159-240. doi: 10.1016\/j.jacc.2020.08.045.","DOI":"10.1016\/j.jacc.2020.08.045"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Rastegar H, Boll G, Rowin EJ, Dolan N, Carroll C, Udelson JE, et al. Results of surgical septal myectomy for obstructive hypertrophic cardiomyopathy: The Tufts experience. Ann Cardiothorac Surg 2017;6:353-63. doi: 10.21037\/acs.2017.07.07.","DOI":"10.21037\/acs.2017.07.07"}],"container-title":["Turkish Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3878.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3878.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:52:27Z","timestamp":1782222747000},"score":1,"resource":{"primary":{"URL":"https:\/\/tjtcvs.org\/articles\/doi\/tgkdc.dergisi.2024.msb-12"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":3,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tgkdc.dergisi.2024.msb-12","relation":{},"ISSN":["1301-5680","2149-8156"],"issn-type":[{"value":"1301-5680","type":"print"},{"value":"2149-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,1]]}}}