Commentary: “Keep Your Eye on the Prize and Keep it Between the Lines.”

Knowledge of intra-cardiac anatomy is critical to perform a safe myectomy independent of the approach. Role of Transapical Incision in the Surgical Management of Hypertrophic CardiomyopathyOperative Techniques in Thoracic and Cardiovascular SurgeryPreviewTransapical ventriculotomy is an important technique in the surgical management of hypertrophic cardiomyopathy (HCM). It is our preferred method for addressing complex long-segment subaortic obstruction and isolated midventricular HCM, as it provides better exposure of the midcavity than alternate methods such as the transaortic or transmitral approach. The procedure can also be used to improve symptoms of diastolic heart failure caused by reduced left ventricular end-diastolic volume as may occur in patients with apical HCM. Full-Text PDF