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Table 1 Baseline and surgical characteristics

From: Mini-invasive surgical instruments in transaortic myectomy for hypertrophic obstructive cardiomyopathy: a single-center experience with 168 cases

Variables

Value

Demographics

 Age (years)

56.8 ± 12.3

 Gender (Females/Males)

85/83

 Obesity (Body mass index > 30 kg/m2)

9 (5.4%)

Concomitant diseases

 Diabetes mellitus

16 (9.5%)

 Coronary artery disease

7 (4.2%)

 Hypertension

67 (39.9%)

 Chronic obstructive pulmonary disease

13 (7.7%)

 Cerebrovascular disease

9 (5.4%)

 Family history of HCM

16 (9.5%)

 Family history of sudden death

6 (3.6%)

Preoperative cardiac status

 NYHA class

  II

23 (13.7%)

  III

120 (71.4%)

  IV

25 (14.9%)

 Previous alcohol septal ablation

9 (5.4%)

 AF

14 (8.3%)

 Left BBB

3 (1.8%)

 Right BBB

4 (2.4%)

Preoperative TTE data

 Maximum LVOT gradient (mmHg)

94.4 ± 22.6

 Interventricular septal thickness (mm)

18.3 ± 3.1

 SAM

168 (100%)

 Degree of MR (median, IQR)

3.0 (2.0–3.0)

 Moderate or more MR

97 (57.7%)

 Midventricular obstruction

7 (4.2%)

 LVEF (%)

67.0 ± 4.2

 LVEDD (mm)

44.6 ± 4.5

 Mitral subvalvular anomalies

45 (26.8%)

  False cords

11 (6.5%)

  Retracted secondary chordae

29 (17.3%)

  PM abnormalities

13 (7.7%)

Surgical characteristics

 ACC time (min)

36.0 ± 8.1

 Transaortic myectomy alone

123 (73.2%)

 Myectomy plus sub-MV management

45 (26.8%)

  False cords cutting

11 (6.5%)

  Retracted secondary chordae cutting

29 (17.3%)

  PM release and/or resection

13 (7.7%)

  1. HCM hypertrophic cardiomyopathy, NYHA New York Heart Association, AF atrial fibrillation, BBB bundle branch block, TTE transthoracic echocardiography, LVOT left ventricular outflow tract, SAM systolic anterior motion, IQR interquartile range, MR mitral regurgitation, LVEF left ventricular ejection fraction, LVEDD left ventricular endo-diastolic diameter, PM papillary muscle, ACC aortic cross-clamping, MV mitral valve