Everything You Need To Know About Septal Myectomy Treatment
A septal myectomy refers to an open-heart surgery which involves the removal of part of the thickened, overgrown septum between the ventricles. This procedure lets the blood empty from the ventricle easily. Here, we will cover various topics about septal myectomy, such as what is septal myectomy, what are the causes and symptoms for which septal myectomy is needed, how to prepare for septal myectomy, who are the best doctors for septal myectomy in India, and which are the top hospitals for septal myectomy in India.
Reach out to world-class doctors for exceptional health care solutions
45
Table Of Index
What is septal myectomy?
Septal myectomy refers to open-heart surgery performed to get rid of thickened, overgrown septum between the ventricles. In hypertrophic cardiomyopathy, the walls of the septum and ventricles might thicken abnormally. The septum is likely to bulge into the left ventricle and affect the blood flow out to the body, causing the heart to work harder. In septal myectomy, the surgeon removes excess thick muscle from the septum. The surgery let the blood empty from the ventricle easily. This procedure helps improve blood flow. Septal myectomy is considered the preferred treatment alternative for individuals with severe symptoms.
Causes and Symptoms
Causes
- Genes
- Family history
- Aging
- Obesity
- Certain heart diseases
- High blood pressure
Symptoms
- Irregular heart rate, chest pain
- Pounding feeling in the chest
- Fatigue, lightheadedness
- Heart murmur, fainting
- Shortness of breath
- Swelling in the ankles, legs, belly
Diagnosis
Physical exam and medical history: The doctor will ask you questions about your medical history as well as family medical history. The doctor will then do a thorough exam to look for symptoms of hypertrophic cardiomyopathy.
Echocardiogram: This test will use ultrasound waves to create pictures of the heart. It measures the thickness of your heart muscle and tells how well the heart is pumping blood.
Electrocardiogram (or ECG): This test will record the electrical impulses in your heart and will detect abnormal rate or rhythm.
Cardiac MRI: This test produces images of the heart to find any thickening of the left ventricle's wall.
Coronary angiography: This test produces images of the coronary arteries to check if they have blockages.
Genetic testing and counseling: A blood test helps evaluate the genes involved in HCM. Genetic specialists will help you find out whether you or your family members need to get genetic testing. A person having genetic testing must also have genetic counseling. A trained counselor will help you understand the complete process and what it could mean for you as well as your family.
Electrophysiology study: A thin tube is inserted through a blood vessel and then into the heart to evaluate electrical activity.
Holter monitor: This wearable device monitors the heart's electrical activity as you do your daily activities.
Stress test: This is also called an exercise test and helps measure heart function while you are running or walking on a treadmill.
Risk & Complications
The risks of septal myectomy complications are low. However, they may sometimes happen. Your risks will depend on your age and some other factors. Talk with your physician about all conces you have. Some possible complications include irregular heart rhythms, infection, bleeding, cardiac tamponade, complications from anesthesia, blood clot and blood flow problems. Heart block is a common complication of septal myectomy. Heart block occurs when there is a disruption to the electrical signals through your heart. The procedure may also lead to accumulation of fluid around the heart or lungs. Atrial fibrillation is also a common risk of septal myectomy.
Preparation of Treatment
Before scheduling septal myectomy, cardiac specialists will tell you what you need to do to prepare for the upcoming surgery. This will also include diet and other lifestyle limitations for a certain period of time before surgery. Certain medicines, such as blood thinners, might need to be stopped before the surgery. Ask the cardiologist for guidance depending on your personal needs. You need to undergo some cardiac tests to determine your heart health prior to the surgery, such as blood tests, chest X-rays and echocardiograms. Stop drinking or eating for 12 hours before surgery. Avoid using tobacco products as smoking will slow down the recovery process. Inform the doctor of all medications you are currently taking like herbal medications or dietary supplements. You should continue taking your medicines as directed by your doctor. Wear comfortable cloth when you come to hospital.
How to prevent conditions requiring septal myectomy?
Exercise: Regular exercise will reduce blood pressure and heart rate and provide health benefits. It is vital to follow the doctor’s recommendations about activity levels as extremes of exercise may be harmful to some individuals with thickened septum between the ventricles. The doctor will help determine the type and level of exercise which is right for you. If exercise causes symptoms like chest pain or shortness of breath, you need to immediately stop it and report it to your doctor.
Eat Healthy: Eat a healthy diet to improve heart health. A heart-healthy diet will include a variety of whole grains, fruits, vegetables, and lean meats and fish. A diet low in animal fat is recommended to reduce cholesterol. A nutritionist can create a diet plan and teach you ways to read food labels to achieve the best results.
Monitor Blood Pressure: Hypertension might worsen the symptoms of HCM, so it is crucial to maintain a healthy blood pressure. Take blood pressure medications as suggested by the doctor. This is because certain blood pressure medications might worsen obstruction in some individuals. The doctor might recommend using a home monitor to track blood pressure levels and report unusual findings.
Quit Alcohol Consumption: Doctors generally recommend that individuals with thick heart muscles should limit or avoid alcohol. Alcoholic drinking can worsen obstruction in your heart, reducing blood flow to the whole body. Alcohol consumption may also lead to weight gain, which might worsen symptoms.
Reduce Stress: Excessive stress might increase your blood pressure, which could raise the risk of cardiomyopathy. To manage stress, have plenty of sleep, do exercise regularly and practice relaxation techniques like deep breathing and yoga, which may benefit your body as well as mind.
Control Diabetes: If you are affected with diabetes, you may be at risk for coronary artery disease, which might worsen symptoms. Your cardiac doctor might refer you to a specialist who could help you manage your diabetes using oral medication, home glucose monitoring, or insulin injections.
Quit Smoking: Smoking tobacco could worsen some symptoms. Tobacco smoking causes narrowing of the coronary artery. The combination of hypertrophic cardiomyopathy and coronary artery disease may be dangerous.
Cost of the treatment
Cost of septal myectomy
The cost of septal myectomy in India ranges from $2500 to $6000. However, septal myectomy cost in India can vary from person to person based on a number of factors like treatment approach used, facilities availed, age of the patient, type of the hospital, and total experience of the surgeons. The cost of septal myectomy in India is much lower in comparison to many other countries across the globe.
Recovery
Recovery after septal myectomy
After septal myectomy, you will be shifted to a cardiac intensive care unit for 5-7 days. Any devices used to help the body function during recovery, like urine catheters, drainage tubes and pacemakers, will be removed. You will slowly start physical therapy and breathing exercises. Cardiac rehabilitation can also be recommended following your discharge from the hospital. It may take 6-8 weeks to completely recover after septal myectomy surgery. Most patients will be able to drive within 3-8 weeks after the surgery. The doctor will share specific recovery details on when you may return to your daily routine or work.
Frequently Asked Questions About Septal Myectomy
Generally, doctor will administer you anesthesia before the surgery starts. This will help you sleep deeply as well as painlessly during the surgery.
Septal myectomy have a high success rate. In a study, around 94% of individuals experienced improvements in symptom after surgery.
Like any surgical procedure, septal myomectomy does have certain risks, though it happens in rare cases. Complications might include bleeding and injuries to internal organs. Heart block may occur after the surgery. The procedure might cause accumulation of fluid around the heart or lungs. Atrial fibrillation may also occur following septal myectomy.
Depending on the severity of the condition, individuals with hypertrophic cardiomyopathy are generally given medicines to improve their symptoms. If the medications are not effective in treating your problem, septal myectomy surgery might be recommended by your doctor.
Made in NextJs 13, by Digital Transformation Agency - Ima-appweb.com