Current State of the Art and Future of Myectomy

Dr Magdi H. Yacoub and colleagues explore the major approaches, pearls, and pitfalls of septal myectomy, which represents the contemporary gold standard for treating symptomatic hypertrophic cardiomyopathy patients without significant comorbidities. The authors further cover key components of the preoperative workup for this procedure, as well as current evidence for short- and long-term outcomes in these patients. They emphasize that surgical techniques for relief of left ventricular outflow obstruction are still significantly underused, despite consistent demonstrations of safety and efficacy.