Has anyone had surgery for Apical Hypertrophic Cardiomyopathy

Posted by dbrima @dbrima, Jun 4, 2024

Has anyone had surgery for Apical Hypertrophic Cardiomyopathy?

I am 34. I was on camzyos for a year. It didn’t work for me. Then last year I had a septal myectomy. I was ok for awhile but now my gradient is back up to 50. Supposedly, I still have thickness in the lower, more narrow part of the left ventricle. Doctors in Houston do not want to operate on me. They said it is too difficult to work in that area. My doctor is reaching out to the Mayo Clinic because they have done it for the past 10 years. Does anyone know of this procedure or have you had it performed?

Interested in more discussions like this? Go to the Hypertrophic Cardiomyopathy (HCM) Support Group.

Profile picture for judpuds @judpuds

@fletch1950 hypertrophic cardiomyopathy.
Can be hereditary or not.
Thickened walk ( inward) of left ventricle stressing heart’s ability to pump the blood through.
I have been prescribed CAZMYOS., cardio requires an echocardiogram every four weeks for first 12 weeks. I am at 12 weeks. Helps the chest pain, but not the heavy breathing , and very very tired all the time!

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@judpuds sorry, I’am at 7 weeks, not 12. Before Cazmyos, I was on bisoporol. I did not feel nearly as tired. Doc says it takes 3 months to adjust to this med.

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Profile picture for annieobee @annieobee

AHCM diagnosis . I am getting pain ,breathless ,leg discomfort .
I was coping , now I get pain when HR goes above100 .
Any ideas gratefully accepted.

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Hello @annieobee,

I combined your discussion with an existing discussion titled:

"Has anyone had surgery for Apical Hypertrophic Cardiomyopathy"
- https://connect.mayoclinic.org/discussion/has-anyone-had-surgery-for-apical-hypertrophic-cardiomyopathy/

Here you can meet other members who discussed their diagnosis, treatment and management of apical hypertrophic cardiomyopathy.

I'd like to invite @holly1275, @superkhal, @dbrima and @metta to this discussion to share how they are currently doing with their diagnosis.

@annieobee, you mentioned some of the worsening symptoms with your diagnosis, how are you currently managing those with your provider?

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Profile picture for fletch1950 @fletch1950

Hi not sure what my condition is, but cardiologist said heart is dying. Left ventricle majority black with use down to 47%. On a lot of medication however no future fix. Caused by enlarged heart muscle pumping thick blood vessels.long term plasma donor in Oz since 1975 which caused thickening and ultimate condition. Anybody know what this condition is called?

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Has anyone diagnosed you with hypertrophic cardiomyopathy or (Hcm)

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It sounds like what I have. It’s a genetic condition where the left ventricle grows obstruct g breathing

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I had it 2 years ago at Mayo Clinic. But I had an open heart surgery less than a year earlier. I am better than I was with just the septal. However, since I am u see 40, it’s been a mental and physical battle. I am easily tired and struggle going up the stairs

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Profile picture for dbrima @dbrima

I had it 2 years ago at Mayo Clinic. But I had an open heart surgery less than a year earlier. I am better than I was with just the septal. However, since I am u see 40, it’s been a mental and physical battle. I am easily tired and struggle going up the stairs

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I had a Septical Myectomy in 2024
Then I just had a REDO Septical Myectomy 7 weeks ago.
I get confused sometimes because I had one Dr Do A ECHO and this was after my Septical Myectomy REDO.
And it showed up as A Apical Cavity Obliteration And A Apical Anyurysm,
They did a Right Heart Catherization today and it came back good no Pulmonary Hypertension and no VSD they looked for a hole as it also showed Highly Thinned And Dyskentics in the Basil area
I am grateful and relieved that it was normal but I still don't understand the Apical Cavity Obliteration And A Apical Anyurysm, I still have no answers, so is it Apical Hypertrophic in the the Apex the tip of the heart can you have both kinds of Hypertrophic Cardiomyopathy.
My heart goes from High heart rate down to to then back up again down to 50 I have a ICD I learned to finally live with what I have Yes I get tired yes I get out of breath but I am still here, and still fighting I believe they have done all they could.
I might never find out if I have both kinds of HCM that's ok, I am ok with it I don't want to dwell on it anymore it is what it is ...

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Yes you can. Dr Derain at the Mayo Clinic said few know how to do it. He called mine a re- do, essentially saying without both an apical and skeptical, the first surgery was worthless

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Dr Derani took out 10x more than my Houston dr. From apex. Septical alone was a waste

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Profile picture for dbrima @dbrima

Dr Derani took out 10x more than my Houston dr. From apex. Septical alone was a waste

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Thank you dbrima l thought so but I wasn't sure I guess the second time around seven weeks ago they must have felt I didn't need it they did the same are and extended it near the Basil don't know what to do with the Apical Cavity Obliteration I guess it's not that bad..
How are you feeling now? I hope everything is well...

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