Thanks, @mike67. I'm sorry we didn't get to your question during the broadcast. Here is Dr. Shapiro's response: Septal myectomy is an excellent treatment choice for selected patients who are highly symptomatic despite maximal medical treatment for hypertrophic obstructive cardiomyopathy. I have seen great success with this surgery, provided its performed in the right hands at a highly experienced HCM hospital where many of these procedures are performed.