Transaortic left ventricular septal myectomy yields excellent results for most severely symptomatic patients with hypertrophic obstructive cardiomyopathy. |
Availability of both surgical myectomy and ASA has polarized the cardiovascular community concerning the most appropriate implementation of these two interventions. |
A detrusor myectomy involves cutting the muscle to reduce the pressure in the bladder. |
The ensuing controversy of whether myectomy and ASA are truly equivalent options has resulted in calls for a prospective randomized trial. |
Resection of the fibromuscular ridge and myectomy was performed from the infundibulum. |
This brief review summarizes how patients are selected for myectomy or alcohol septal ablation and reviews results for both procedures. |