The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Apr 2024
Efficacy and Safety of a Transaortic Approach to Midventricular and Apical Septal Myectomy.
Evaluate the safety and efficacy of a transaortic approach to midventricular and apical septal myectomy in patients with hypertrophic cardiomyopathy with left ventricular outflow tract and/or midventricular obstruction. ⋯ Most patients undergoing septal myectomy for relief of obstruction required resection beyond the basal septum. With specialized instrumentation, detailed imaging, and knowledge of variable septal anatomy, resecting midventricular and apical septal muscle can be safely and effectively achieved through a transaortic approach.
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J. Thorac. Cardiovasc. Surg. · Apr 2024
Alarming rate of liver cirrhosis after the small conduit Extracardiac Fontan. A comparative analysis with the Lateral Tunnel.
The association between the prevalence of cirrhosis and the types of Fontan operations remains unclear. ⋯ The Extracardiac Conduit Fontan seems to be associated with faster development of cirrhosis.