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Septal Myectomy

What Is Septal Myectomy?

Septal Myectomy refers to the type of open-heart surgery to treat or manage the symptoms of hypertrophic cardiomyopathy. The surgeon removed the thickened, overgrown septum between the ventricles to improve blood flow through the heart.

Hypertrophic cardiomyopathy is a severe heart condition that can cause problems with the blood flow through the heart. The condition can be congenital or acquired. However, in both cases, the condition affects the quality of life. Get in touch with us to consult with some of the best cardiologists for modern septal myectomy procedures.


When Should I Consult The Doctor For Septal Myectomy?

Get in touch with the doctor if hypertrophic cardiomyopathy symptoms do not improve with medications and other non-surgical procedures. Septal myectomy is also recommended for patients with-

  • Severe thickening in the left ventricles
  • Who are planning to get pregnant (even if the symptoms are not severe)
  • Excessive redness, swelling or warmth around the site of the incision
  • Fever higher than 100.4 F
  • Weight gain of more than 2 kgs in a week

How To Prepare For Septal Myectomy Surgery?

Before the septal myectomy surgery, the cardiologist provides a set of instructions for a smooth surgery experience. After reviewing the medical report, the doctor recommends diagnostic tests to determine the cause and severity of the symptoms. For patients who take certain medications such as blood thinners, the doctor may advise them to stop taking them before the procedure. Here are a few pre-surgery instructions for septal myectomy to ensure a smooth surgery experience and a quick recovery-

  • Discuss your history of medical condition(s) and surgical procedures with the cardiologist
  • Stop smoking and consuming alcohol a week before the procedure as they can increase the recovery time
  • Inform your doctor in case you have a history of bleeding disorders
  • Wear loose-fitting and comfortable clothes which do not put pressure on the surgical site
  • Do not eat or drink 8 to 9 hours prior to the surgery. It is generally recommended to not take any meal post-midnight. 
  • Inform your doctor of any ongoing medications and history of an allergic reaction to anesthesia to avoid complications during the surgery
  • Take antibiotics or prescribed medications prior to the surgery as directed by the doctor
  • Once prepared, you or your guardian needs to sign a consent form that gives full authority to proceed with the surgery. So be sure to resolve all your queries regarding the procedure.

What Happens During The Septal Myectomy?

Septal myectomy is often done under general anesthesia. After the anesthesia, the surgeon makes a large incision in the middle of the chest to separate your breastbone and gain excess to the heart. Then, the surgeon attaches a heart-lung machine that carries out the function of the heart for the rest of the procedure. 

Subsequently, the surgeon cuts away the part of the thickened septum using surgical tools. After the surgeon has successfully removed the obstruction, the heart-lung machine is detached and the incision is closed using surgical sutures. The procedure can take anywhere between three to four hours depending on the degrees of thickening, the medical condition of the patient and the expertise of the surgeon. 

Recovering After the Septal Myectomy

After the procedure, you will be shifted to the recovery room where the doctor will monitor your recovery process. A medical team will keep a check on your vitals such as blood pressure, breathing, heart rate, etc. and watch for signs of infections. Since the surgeon may place a urine catheter or chest drainage tube for 24 to 48 hours, you may need a physical therapist to be able to walk again. It is crucial to follow the medication after the septal myectomy procedure to prevent complications. Here are some recovery tips which can help you after the septal myectomy surgery-

  • Quit smoking and consuming alcohol
  • Follow a healthy diet that is low in saturated fat
  • Maintain a healthy weight
  • Maintain healthy blood pressure levels 
  • Take regular medications as prescribed by the doctor
  • Go for regular health check-ups

Why Choose BM Birla for Septal Myectomy Treatment in Kolkata?

BM Birla Heart Research Centre is a super specialty hospital with modern infrastructure and state-of-the-art technology in Kolkata. BM Birla Heart Research Centre is the only hospital offering super specialty cardiac care in entire of eastern India. With a 200+ bed capacity, cardiac rehabilitation services, cath labs and modular OTs, BM Birla Heart Research Centre has made a mark with its singular focus on the treatment of a variety of cardiac disorders. Here are a few advantages of choosing BM Birla Heart Research Centre for septal myectomy treatment in Kolkata:

  • Highly qualified and experienced cardiologists
  • Cutting-edge technology and the latest medical equipment
  • The transparent pricing structure for cost-effective treatment. 
  • Patient-centric high-quality care for a high success rate

Get in touch with our expert heart specialists at BM Birla Heart Research Centre, Kolkata for complete cardiac care. 


Whom should I consult for my septal myectomy procedure?

Get in touch with a cardiac specialist if you are experiencing atherosclerosis symptoms. Cardiac specialists specialize in diagnosing and treating heart-related conditions. 

What are the diagnostic tests before the septal myectomy procedure?

The doctor may recommend the following tests to confirm the thickening of the ventricles due to hypertrophic cardiomyopathy - 

  • Echocardiogram
  • Cardiac catheterization
  • Electrocardiogram (ECG)
  • Chest X-ray
  • Blood tests

What are the benefits of a septal myectomy procedure?

Septal myectomy helps in successfully relieving the symptoms of hypertrophic cardiomyopathy which include the following - 

When can I resume my daily activities after the septal myectomy procedure?

Most patients recover from the myectomy after four to five days. However, recovery also depends on the patient’s medical health, age, and how effectively they are following the recovery tips. Going for regular health check-ups can reduce the chances of complications and ensure a quick recovery.

What are the complications of septal myectomy surgery?

Septal myectomy is a major procedure that involves a rare possibility of complications depending on the medical condition of the patient and the expertise of the surgeon. Septal myectomy complications include - 

  • Heart block
  • Infection
  • Complications due to anesthesia
  • Issues related to the aortic valve
  • Removal of excessive heart muscles
  • Abnormal bleeding
  • Blood clots can result in a stroke or heart attack
  • Problems associated with blood flow during the surgery can cause inefficiency in the heart’s pumping function

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