Key result
Structural abnormalities of the mitral valve contribute to systolic anterior motion in hypertrophic cardiomyopathy and can be detected by imaging and repaired surgically.
Authors
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“For the subset of patients with HCM and leaflet elongation but minimal septal hypertrophy, myectomy is often not adequate for complete relief. Our procedure offers added insurance against negative outcomes for these individuals.”
“The anatomic hypertrophy of the ventricular septum, coupled with anatomic abnormalities of the mitral valve cause abnormal flow vectors that push the mitral valve into the outflow tract resulting in dynamic obstruction.”
May inform mitral assessment in obstructive HCM; leaves open optimal surgical strategies pending prospective data.
Sherrid et al. (2016) conducted a review in Obstructive Hypertrophic Cardiomyopathy. Imaging and surgical repair of mitral valve abnormalities was evaluated. Structural abnormalities of the mitral valve contribute to systolic anterior motion in hypertrophic cardiomyopathy and can be detected by imaging and repaired surgically.