Leading consultants from Royal Brompton & Harefield Hospital demonstrate their skills at a key conference in the Middle East.

A life-changing surgical myectomy simulation for the management of obstructive hypertrophic cardiomyopathy was performed by two of our leading consultants - Mr Fabio De Robertis and Dr Antonis Pantazis at Arab Health in 2017.

Above: Dr Robertis performs a surgical simulation at Arab Health

The simulation was the first time that specialists from Royal Brompton & Harefield Hospitals performed the procedure in the Middle East, and it received great interest.

The procedure provides hope to patients with hypertrophic cardiomyopathy, an inherited heart disease known as 'sudden death syndrome', which affects as many as one in 500 people across the world.

What is a myectomy?

Septal myectomy entails performing surgical muscle resection (myectomy) to eliminate left ventricular outflow tract obstruction (LVOTO). It is conventionally performed through an incision made through the length of the sternum.

This is a complex surgery and is planned carefully with the assistance of specialist imaging, including a transoesophageal echocardiogram (TOE) and cardiac MRI.

During the procedure, the surgeon will reach the inside of the heart through the aorta and the aortic valve. The inner surface of the heart muscle will then be resected under direct vision in order to relieve the blockage in the areas where it is thickened. The amount of muscle removed varies between 3 and 15g.

Press coverage

Local press, radio and TV covered the simulation:


Mr Fabio De Robertis

Consultant cardiac and transplant surgeon




Dr Antonis Pantazis

Consultant cardiologist