Nicholas Smedira · complex HCM surgery · Decision guide
Specialist HCM imaging and myectomy that can also correct mitral-leaflet or papillary-muscle causes of obstruction.
Nicholas Smedira is a current myectomy surgeon at Cleveland Clinic’s specialist HCM centre. The programme combines detailed imaging, anatomy-directed surgery and continuing HCM care. Its published surgical experience includes operations that correct the mitral valve and supporting structures as well as the septum. Price is individualized.
The plan can address an elongated mitral leaflet or abnormal papillary muscles when these contribute to obstruction.
Sources: Surgical management of left ventricular outflow tract obstruction in a specialized hypertrophic obstructive cardiomyopathy center. · Desai and Smedira: diagnostic and surgical decision-making
A diagnostic visit without scheduled treatment generally involves 1–2 days in Cleveland, depending on testing.
The published series included 1,559 LVOT operations in 2005–2015, of which 1,530 involved myectomy.
Programme operations · Calendar year 2024 · published 2025-08-27 · counting date 2024-12-31
Programme total across septal approaches, including operations with associated procedures.
Cleveland Clinic 2024 HOCM data highlights ↗ · source read 2026-10-08Personal participation · Cumulative participation; myectomy-specific start and cutoff not stated
The institutional profile attributes participation in septal myectomies to Smedira; it does not allocate all cases to him as sole operator.
Dr. Nicholas Smedira, MD – Cleveland, OH – Cardiac Surgery – Request Appointment ↗ · source read 2026-10-08Programme operations · 2002–2021; exact boundary dates not specified
Cleveland programme experience across 2002–2021, described by Milind Desai in an official clinical discussion. It is separate from Smedira’s personal participation count.
Surgical Myectomy for Hypertrophic Cardiomyopathy ↗ · source read 2026-10-08
Primarily transaortic septal myectomy, with mitral or subvalvular correction when the anatomy calls for it
Quote on request
Individual estimate after assessment.
Request an HCM assessment and quoteNamed team · complete quote · recovery plan
Symptomatic obstructive HCM despite appropriate medical treatment, including patients whose mitral leaflets or papillary muscles contribute to restricted outflow. These anatomical findings can make surgery more comprehensive than isolated septal reduction.
Sources: HCM Center appointment and care pathway · Desai and Smedira: diagnostic and surgical decision-making · 2024 AHA/ACC multisociety HCM guideline key points
Sources: HCM Center appointment and care pathway · Desai and Smedira: diagnostic and surgical decision-making
Sources: Septal myectomy patient information
Quote on request
Pricing follows the proposed operation and required care. The inspected programme sources publish no standard package total or hotel, interpreter and companion allowance.
The centre describes HCM cardiology, specialist imaging, surgical assessment, inpatient recovery and individualized follow-up. Virtual follow-up is an available option. No standard international package price is published.
| Care / cost item | Published care and cost scope |
|---|---|
| Assessment | HCM cardiology and specialist imaging are described. A diagnostic visit without treatment generally takes 1–2 days locally; the testing plan determines the duration. |
| Surgery | Septal myectomy with mitral or papillary correction when required. There is no published standard cash package for a fixed operative scope. |
| Hospital care | Anaesthesia, ICU monitoring and ward recovery form the pathway. Charges and allowances are individualized. |
| Follow-up | Follow-up is individualized, with a virtual option. Rehabilitation and further imaging depend on recovery and clinical findings. |
| Travel services | The clinical sources do not define included hotel nights, transfers, interpreter services or companion costs. |
Sources: Septal myectomy patient information · HCM Center appointment and care pathway
The 2005–2015 series included 1,530 operations with myectomy. In 522, myectomy was combined with mitral or subvalvular intervention. Reported operative mortality was 0.38%.
Historical selected centre population; the abstract does not name its single operator. These are not a stated personal outcome rate for Smedira or a direct comparison with Cui.
Cleveland Clinic’s myectomy information describes ICU care immediately after surgery, assisted walking after about 48 hours and fewer than five inpatient days for most patients. The standard operation divides the breastbone. Discharge does not mark complete chest healing or readiness for international travel; activity restrictions depend on the operation and recovery.
Sources: Septal myectomy patient information · Liverpool Heart and Chest Hospital: recovery guide
Hangzhou, China
Yong Cui
Zhejiang Provincial People’s Hospital
A 4–5 cm underarm incision keeps the breastbone intact: no divided breastbone to heal while you rebuild walking and everyday activity.
$25,000–40,000 estimated cost
USD · estimated programme range · updated 8 October 2026.
Published 100-patient MESM series; separate 132-patient mid-cavity conference report and earlier 148-patient modified-Morrow study.
New York, United States
Daniel Swistel · Joshua Scheinerman
NYU Langone Hypertrophic Cardiomyopathy Program
An HCM team that treats septal and mitral causes of obstruction, with conventional and selected robotic surgical approaches.
Quote on request
Individual estimate after assessment.
NYU reports more than 600 myectomies at programme level. Supporting method evidence includes a historical 77-patient anatomy study and a separate first robotic case report.
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