A Hypertrophic Cardiomyopathy Patient with Poﬆ Exercise Gradient about 45; Should Coronary Artery Bypass Graft and Mitral Valve Replacement Accompanied by Septal Myectomy?
Introduction: Surgical septal myectomy has brought a considerable increased survival from all-cause mortality and even Hypertrophic cardiomyopathy related mortality in comparison with unoperated Hypertrophic cardiomyopathy. Case presentation: A fifty-five man who referred to Tehran Heart Center Hospital in April 2009 with dyspnea on exertion grade (NYHA class III) and chest pain (NYHA grade II) and occasional palpitation. Conclusion: The recommended treatments for patients with this problem varied from medical treatments to surgical myectomy and septal ablation.
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