METHOD FOR HEART MOBILISATION ACCOMPANYING SURGICAL MANAGEMENT OF HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY COMPLICATED WITH CONSTANT ATRIAL FIBRILLATION

摘要

FIELD: medicine.;SUBSTANCE: ascending aorta is transected in the presence of 'aorta - cava - left ventricle' artificial circulation and cardioplegia. A right ventricular wall is incised parallel with an atrioventricular groove from an inferior vena cava towards a space between the aorta and superior vena cava with the incision extending onto an interatrial septum to a lower end of an oval fossa and onto a cupula of the left atrium. The incision of the left atrium extends behind the transected aorta to an atrial appendage. The heart is brought upwards and to the left with an interventricular septum changed from a horizontal into vertical position.;EFFECT: method enables visualising the interventricular septum well through an aortic valve cusp, performing a septal myectomy in an adequate volume on the first try, providing higher effectiveness of the operation ensured by reducing a risk of an injury of subvalvular structures of the mitral valve, as well as shortening aortic compression and related myocardial injury.;1 ex