肥厚梗阻型心肌病的外科治疗资料.pptVIP

;背 景;胸闷;背 景;1968年 经典Morrow手术：单纯切除室间隔肥厚肌束改 良Morrow法：扩大的肥厚心肌切除+二尖瓣前瓣叶折叠+二尖瓣前乳头肌游离(ＲＰＲ);病人资料;结 果;结 果; 肥厚型心肌病是一类常染色体携带的遗传性疾病，发病率男性多于女性，男女比为1.6∶1;猝死高危因素;改良Morrow手术;手术指证;手术预后---存活率;The recurrence rate of syncope was 11% in the myectomy patients and 40% in the medical group (p 0.0001).The median follow-up period was 4.7 years. ;手术预后---室间隔厚度;手术预后---流出道压差;手术预后---SAM征改善;手术预后---心功能改善;手术后处理;病例一;病例二:土豪男;病例三：城管男;病例四