METHOD FOR SURGICAL MANAGEMENT OF HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, in particular to cardiosurgery. Aortic wall is incised from edge of cross section towards top of commissure between non-coronary and left coronary aortic valve cusps. Then incision is extended through middle of said non-commissure to interflap fibrous triangle and then to middle of front flaps of mitral valve and dome of left atrium. Incision of front flap of mitral valve is continued in direction to middle of its free edge. Flap is dissected in two. Left atrial dome incision continues towards superior vena cava along right branch of pulmonary artery. Along incision superior vena cava is transected and incision from dome of left atrium is continued to transected superior vena cava to right side wall of left atrium between mouths of right pulmonary veins and interatrial sulcus to level of lower edge of left lower pulmonary vein.;EFFECT: method enables increasing width of surgical area and improving visualizing quality of interventricular septum, as well as to expand functional capabilities due to possibility of performing any accompanying repair of mitral valve.;1 cl, 8 dwg, 1 ex