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Best Septal Myectomy Surgery in Hyderabad at TX Hospitals

Septal myectomy is a specialized open-heart surgery designed to treat hypertrophic cardiomyopathy (HCM), a condition where the heart muscle becomes abnormally thickened. The ventricular septum, a muscular wall that separates the heart’s left and right ventricles, is a common site for this thickening. In HCM, the thickened septum may bulge into the left ventricle, obstructing blood flow and forcing the heart to work harder to pump blood to the body.

At TX Hospital, one of the Best Cardiac Surgery Hospitals in Hyderabad, we offer expert care in treating conditions like HCM with advanced surgical procedures such as septal myectomy.

This surgical procedure involves removing the excess muscle from the thickened septum to improve blood flow and reduce symptoms such as fatigue, shortness of breath, and chest pain. By relieving the obstruction, septal myectomy also reduces complications like mitral valve regurgitation, where blood leaks backward into the left atrium

Conditions Where Septal Myectomy is Preferred:

  • Significant thickening of the septum, leading to obstruction in the left ventricle.
  • Persistent symptoms (e.g., shortness of breath, chest pain, lightheadedness) not relieved by medication.
  • Need for additional cardiac repairs (e.g., mitral valve repair).
  • Severe complications from HCM (e.g., heart failure, risk of sudden cardiac death).

Pre Procedure:

  • Undergo tests like blood tests, echocardiogram, ECG, chest X-ray, cardiac MRI, and cardiac catheterization to assess heart health.
  • Stop taking blood-thinning medications such as warfarin or aspirin as advised.
  • Follow fasting instructions regarding eating and drinking before the procedure.

The Procedure:

  • General anaesthesia is administered to keep the patient deeply asleep and pain-free during the procedure.
  • The surgery requires a large incision along the center of the chest, with the breastbone split to access the heart..
  • The patient will be briefly connected to a heart-lung machine that will take control of their heart and lungs while the procedure is underway.
  • The surgeon excises the thickened part of the heart’s septum to enhance blood flow.
  • If necessary, additional procedures, such as mitral valve repair, may be performed.
  • The heart-lung machine is removed, and the breastbone is secured back together with wires.
  •  The incision is closed using sutures or staples.

Recovery After Septal Myectomy: What You Need to Know

After undergoing a septal myectomy, it’s crucial to follow proper recovery steps to support healing and symptom improvement. Steps to be followed:

  1. Post-Surgery Care in the Hospital : Patients are monitored in the ICU for 1-2 days for assessing vital signs, breathing and heart rate. Tubes may be placed to drain fluid from the chest which is typically removed within 1-3 days. Hospital stays usually last 4-5 days, with on-going observation for any complications.
  1. Gradual Increase in Activity : Within 1-2 days, patients begin walking with assistance, starting with light movements. Early physical therapy is important to aid circulation and clear lung fluids. While activity will gradually increase, it’s important to avoid heavy lifting or intense exercise for 6-8 weeks.
  2. Diet and Pain Management: Patients can start drinking liquids the day after surgery and transition to solid foods as tolerated. Some soreness is normal, but pain can usually be managed with medication if needed.
  3. At-Home Instructions: After discharge, ensure you have help at home for the first few days. It’s essential to monitor temperature and weight daily. If a fever or weight changes occur, seek medical advice. A follow-up visit will likely be needed in 7-10 days to remove stitches or staples.Complete recovery usually requires a few weeks to a few months. Driving can resume within 3-8 weeks, and heavy lifting should be avoided during this period.
  4. Cardiac Rehab: Engaging in cardiac rehabilitation can significantly boost recovery by enhancing strength, endurance, and overall health through structured exercise and support.

Benefits of Septal Myectomy:

  • Symptom Relief: It effectively alleviates severe symptoms of hypertrophic cardiomyopathy (HCM) like chronic chest pain, fatigue, shortness of breath, swelling, fainting, and chest pounding.
  • Durable Solution: For individuals whose symptoms are not well-controlled with medication, septal myectomy offers a long-term treatment option.
  • Improved Heart Function: The procedure removes the thickened heart muscle, helping to improve blood flow and overall heart function.

If you are looking for the Best Cardiac Surgeon in Hyderabad, TX Hospital offers the expertise and state-of-the-art care needed for conditions like hypertrophic cardiomyopathy. Our team is committed to providing the best outcomes for heart patients through advanced treatments such as septal myectomy.

FAQs About Septal Myectomy

HCM is a condition where the heart muscle thickens, obstructing blood flow. Septal myectomy removes the excess tissue from the septum to improve blood flow.

Recovery takes a few weeks to a few months, with activity restrictions for 6-8 weeks.

Yes, it provides a long-term solution, improving symptoms and heart function.

Risks include infection, bleeding, and complications from anesthesia or the heart-lung machine, but the procedure is generally safe.

TX Hospitals is one of the Best Cardiac Surgery Hospitals in Hyderabad, offering expert care and advanced treatments for optimal outcomes.

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