Cardiovascular surgeon. Views own. Personal account
Dec 7, 2022 • 7 tweets • 8 min read
@manuel_carnero@SECTCV@CardioRed1@secardiologia Manuel, from a constructive standpoint knowing that trainees are watching I must engage. IMHO this may have improved hemodynamics somewhat. However the full potentiall benefit of a complete resection is missed. I fear recurrence with such incomplete pericardiectomy.
@manuel_carnero@SECTCV@CardioRed1@secardiologia -anatomy in the video looks perfectly resectabl
-we know very well outcomes of residual constriction
-unlikely to reach lateral and posterior pericardium with such conservative approach
-CPB +/- cardioplegic arrest helps in achieving full pericardiectomy often
Aug 29, 2020 • 12 tweets • 5 min read
Very interesting results from Phase 3 #EXPLORER-HCM clinical trial: #mavacamten vs placebo for symptomatic #HOCM at #ESCCongress2020 . A new tool is given consideration for patients with obstructive HCM. The authors have to be congratulated. Excellent presentation by I. Olivotto
Is this the beginning of a dream in the treatment of HCM? Will it challenge and replace invasive septal reduction therapies by achieving sustained resolution of obstruction, complete symptom relief, neutralize risk of SCD without side effects? Let's deep into the study