Septal myectomy is an open-heart surgical procedure used to treat hypertrophic cardiomyopathy (thick heart muscle). It alleviates the condition's symptoms in the patient.
The septum is a muscular wall that divides the left and right ventricles, the two bottom chambers of the heart. The walls of the ventricles and septum may thicken abnormally in hypertrophic cardiomyopathy. The septum may expand into the left ventricle, obstructing blood flow out to the body. As a result, the heart has to work harder. It also adds to several of the disease's symptoms, such as weariness and shortness of breath. Manipal Hospitals is providing Surgery for HOCM In Yeshwanthpur, Bangalore, visit today.
A surgeon removes extra muscle from the thickened septum during septal myectomy. It makes it easier for blood to exit the ventricle of the heart.
Why is the procedure performed?
In many situations, medications are sufficient to alleviate the symptoms of hypertrophic cardiomyopathy. A treatment such as septal myectomy is typically useful if medications do not improve symptoms.
Septal myectomy is a generally safe surgical treatment that has been performed for many years by surgeons. Even if the patient's symptoms are mild, some women with hypertrophic cardiomyopathy may require a septal myectomy before becoming pregnant.
Before the operation, you will be given general anaesthesia. Anaesthesia allows you to remain in a deep slumber throughout the procedure and avoid feeling any pain.
To access your heart, the surgeon first creates a big incision through the centre of your chest and divides your breastbone (sternum).
Then doctors link you to a heart-lung machine, which replaces your heart and lungs during the operation. During the procedure, the thickened piece of your septum is removed, and the heart-lung machine is disconnected after the natural organs begin to function on their own. Finally, they reattach the breastbone and seal the wound using clean sutures. Book an appointment to know more about the treatment procedure.
Following a septal myectomy, you recuperate in the intensive care unit (ICU). A urinary catheter or chest drainage tube may be left in place for 24 to 48 hours.
After around 48 hours, you'll be able to walk with the assistance of a physical therapist. The average hospital stay is less than five days.
Symptoms of hypertrophic cardiomyopathy are usually relieved within days to weeks of surgery. You may experience some chest discomfort, but you should not experience significant pain.
After surgery, you may lose energy faster than normal. Most people are back to their normal energy levels in a few weeks.
Alternative methods of treatment
Another treatment option for cardiomyopathy is alcohol septal ablation. The doctor injects alcohol into a blood artery in the ventricular septum during alcohol septal ablation, and it causes some heart muscle cells to die, causing the septum to shrink. Because alcohol septal ablation is not open-heart surgery, recovery is substantially simpler. However, some difficulties, like cardiac rhythm issues, may be slightly exacerbated.