15/11/2022
Recommended by the successful and extended casuistry, European Cardiomyopathy Center, Center of Ecellence in the diagnosis and surgery of hypertrophic obstructive cardiomyopathy/ , -opens the gates for the patients from abroad.
Here is one of our patients a young woman of 23-year-old, with a history of partial atrioventricular canal defect correction and mitral valve repair in 2005, followed by another reoperation due to severe residual mitral valve regurgitation with implantation of mechanical mitral valve prosthesis in 2018, operated in hospitals from Georgia and USA, left with some unresolved problems, very similar as mechanism and etiology with the hypertrophic obstructive cardiomyopathy.
Reading more about this disease on the Internet, Lika found our center and she immediately addressed to us for a . Fortunately, she managed to find an immediate response and in a very short time, the long-awaited solution.
The surgery performed very well. It was a very challenging case even for our experienced surgeons because the patient presented a left ventricular outflow tract obstruction (LVOTO) after implantation of mechanical mitral valve prosthesis due to interposition of anterior papillary muscle into left ventricular outflow tract (LVOT) which is quite rare.
Prof. Dr. Lucian Dorobantu, MD, Senior cardiovascular surgeon specialized in HOCM, coordinator of the European Cardiomyopathy Center: “The surgical procedure consisted in resection of anterior papillary muscle, shallow septal and preservation of the mitral valve prosthesis. Our patient was diagnosed with hypertrophic obstructive cardiomyopathy (HOCM) in another hospital based on the fact that she had a hypertrophy of the interventricular septum basal part and a high gradient into LVOT. Nevertheless hypertrophy in our patient case was only mild, severe degree obstruction in LVOT could still be present, on account of the anomaly of the mitral valve. Such patients pose a real problem to the surgery, because a myectomy is dangerous to be done, having the risk of ventricular septal perforation. Therefore, the plasty of the mitral valve like in Ferrazzi’s technique which we have performed is of great value in such complex cases.”
The patient recovered well after the operation and she was discharged on the 7th postoperative day. She left the hospital in a very good shape, very glad that she got rid of those invaliding symptoms of breathing hard, feeling tired during simple things as getting dressed or climbing a few stairs.
Maybe the most valuable lesson we have learned from our patients- -is the courage when they are faced with this diagnosis. The courage to fight for their life. The courage to ignore time and distance. The courage to say: I could lose everything in life but I choose instead to gain a whole world.
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Discover more on: https://hocm.eu/our-patients/