METHOD FOR HEART MOBILISATION ACCOMPANYING SURGICAL MANAGEMENT OF HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY FROM TRANSAORTAL APPROACH Russian patent published in 2014 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly cardiac surgery. A transaortal approach is ensured by a partial heart separation. An ascending aorta and a superior vena cava is transected in the presence of cardiopulmonary bypass. A left ventricular wall is incised between right pulmonary veins and an interatrial sulcus from the level of an inferior vena cava parallel with the interatrial sulcus with the incision extending onto a cupula of the left atrium to a left ventricular appendage. Thereafter, the heart is brought upwards and to the left. An interventricular septum is changed from a horizontal into vertical position.

EFFECT: method enables visualising the interventricular septum well through an aortic valve cusp for performing a septal myectomy, providing higher effectiveness of the operation ensured by reducing a risk of an injury of subvalvular structures of the mitral valve, as well as performing the septal myectomy in an adequate volume on the first try that enables shortening aortic compression and related myocardial injury.

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