's treatment of treatment method of surgery of the plump type myocardium disease

's treatment of treatment method of surgery of the plump type myocardium disease
A surgical treatment and current situation
1.1 The cardiac muscle of interventricular septum is cut. Excise the skill
Adapt to card fail to respond to any medical treatment for medicine, symptom obvious, LVOTPG greater than or equal to 30mmHg (1mmHg=0.133kPa) at the quiet interest Greater than or equal to 50mm-Hg, and the extremely plump one of interventricular septum cardiac muscle when or should surge. The operation purpose is to make LVOT increase widely and dispel the bicuspid valve to move and separate by the contact with bicuspid valve (SAM solicits) before systolic phase ,It is 70%- 80% that the operation is efficient. The most frequently used operation way is that the cardiac muscle of interventricular septum by aorta route is cut or excised the skill (Morrow skill) partly ,Lengthy patient can competent the intersection of bicuspid valve and frontal lobe sew, roll over skill at the same time obviously as to the intersection of bicuspid valve and frontal lobe, in order to reduce the possibility that postoperative SAM solicits existing continuously.
Less than or equal to 18mm, operation and excise the person who changes dynamics of blood flow apt to cause the interventricular septum to punch or inappropriate to some thickness of the previous interventricular septum upside, ventricle of middle part obstruct and Morrow have serious symptom and LVOT continuously still while being postoperative person who obstruct and the intersection of bicuspid valve and the intersection of itself and pathological change accompany serious the intersection of bicuspid valve and backflow ' If the bicuspid valve prolapses) Person,it it is walk by bicuspid valve substitution skill not to need. The operation can obviously reduce LVOTPG and bicuspid valve and can not close completely symptom. To follow up a case by regular visits to materials reveal, should perform the operation, can make the intersection of patient and symptom and circulation get long-term and lasting improvement for a long time over 30 year, and not flowed out one and obstructed and recured. Main complication includes complete atrio-ventricular block ' Need to find a room for the permanent artificial pacemaker) , ventricular septal defect and the intersection of aorta and petals of backflow,etc., the total incidence is fewer than 3%. But should perform the operation and can launch only in a few conditional hospitals.
1.2 The heart is transplanted
As to the thing that medicine fail to respond to any medical treatment or develop for being congestive and in heart failure already, can't accept interventricular septum cardiac muscle cut. Excise skill or other plump type myocardium disease patients who got involved to treat, can consider carrying on the same kind of allogenic heart transplant.
2 hearts get up to fight to treat
The mechanism that is applied HOCM treatment to of one pair of pace makers does not still know very much, infer it passes and changes excited order of the ventricle, make the skin of ventricle far away from plump interventricular septum ahead of time and excited and shrinking, and the plump interventricular septum upside shrinks and relatively lags behind, thus lighten the obstructing of LVOT. Because VVI way makes the function of the atrium unable to be utilized, will cause the heart function to drop. So, the getting up of HOCM should adopt each and get up to fight to treat to fight, and guarantee the ventricle and get up to fight, namely set up one among AV of the pace maker, make it shorter than one among the patient's PR notably.
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