{"schema_version":"bookimed.page-context.v1","id":"clinic-policlinico-monza","url":"https://hub.bookimed.com/heart-surgery/clinic-policlinico-monza/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-policlinico-monza.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"clinic-profile","title":"Policlinico di Monza: heart surgery expertise","summary":"Monza’s HCM work combines muscle resection with correction of selected abnormal secondary mitral chordae. The purpose is anatomical relief of obstruction while retaining the native valve, with longer follow-up than a purely early feasibility report.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"350-patient follow-up","text":"The 2026 publication studies 350 consecutive patients with median follow-up of 5.6 years.","sources":["depth-ferrazzi-2026"]},{"label":"Reported symptom status","text":"Of 344 patients with follow-up, 271 were in NYHA class I and 65 in class II at latest assessment.","sources":["depth-ferrazzi-2026"]},{"label":"A connected heart centre","text":"Hospital materials describe cardiac surgery, cardiology, imaging, intensive care and rehabilitation, with a 2026 HCM research update.","sources":["depth-monza-brochure","depth-monza-2026"]}],"benefits":[{"text":"Its studied HCM operation preserves the mitral valve while treating abnormal secondary chordae and septal muscle together.","sources":["depth-ferrazzi-2026","depth-monza-brochure","depth-monza-2026"]}],"limitations":[{"text":"This is observational centre evidence, not a randomized comparison with other myectomy methods. The scientific-director title for Ferrazzi comes from a 2023 brochure; the 2026 paper establishes his research affiliation rather than a personal operating schedule.","sources":["depth-ferrazzi-2026","depth-monza-brochure","depth-monza-2026"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages Its studied HCM operation preserves the mitral valve while treating abnormal secondary chordae and septal muscle together. Sources: Ferrazzi et al. · JACC 2026 · 350 patients · Policlinico di Monza · heart centre brochure (2023) · Monza · HCM research programme (March 2026) Trade-offs and limits This is observational centre evidence, not a randomized comparison with other myectomy methods. The scientific-director title for Ferrazzi comes from a 2023 brochure; the 2026 paper establishes his research affiliation rather than a personal operating schedule. Sources: Ferrazzi et al. · JACC 2026 · 350 patients · Policlinico di Monza · heart centre brochure (2023) · Monza · HCM research programme (March 2026)","links":[{"label":"Ferrazzi et al. · JACC 2026 · 350 patients","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/"},{"label":"Policlinico di Monza · heart centre brochure (2023)","url":"https://www.policlinicodimonza.it/wp-content/uploads/2024/04/BROCHURE-CENTRO-CUORE-MONZA_marzo23_WEB.pdf"},{"label":"Monza · HCM research programme (March 2026)","url":"https://www.policlinicodimonza.it/news/cardiochirurgia-la-dott-ssa-ilaria-giambuzzi-al-57-congresso-nazionale-anmco/"},{"label":"Ferrazzi et al. · JACC 2026 · 350 patients","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/"},{"label":"Policlinico di Monza · heart centre brochure (2023)","url":"https://www.policlinicodimonza.it/wp-content/uploads/2024/04/BROCHURE-CENTRO-CUORE-MONZA_marzo23_WEB.pdf"},{"label":"Monza · HCM research programme (March 2026)","url":"https://www.policlinicodimonza.it/news/cardiochirurgia-la-dott-ssa-ilaria-giambuzzi-al-57-congresso-nazionale-anmco/"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work Portrait source ↗ Monza · Italy cardiac surgeon Paolo Ferrazzi → Paolo Ferrazzi’s Monza work treats obstructive HCM by removing excess heart muscle and selectively cutting abnormal cords that pull on the mitral valve. The aim is to open the outflow pathway while keeping the patient’s own valve. The published 350-patient study has a median 5.6 years of follow-up. Monza research affiliation documented in 2026; the scientific-director appointment source is dated 2023. Policlinico di Monza → Sources: Ferrazzi et al. · JACC 2026 · 350 patients · Policlinico di Monza · heart centre brochure (2023) View expertise and research →","links":[{"label":"Portrait source ↗","url":"https://www.policlinicodimonza.it/wp-content/uploads/2024/04/BROCHURE-CENTRO-CUORE-MONZA_marzo23_WEB.pdf#page=4"},{"label":"Paolo Ferrazzi →","url":"https://hub.bookimed.com/heart-surgery/doctor-paolo-ferrazzi/"},{"label":"Policlinico di Monza →","url":"https://hub.bookimed.com/heart-surgery/clinic-policlinico-monza/"},{"label":"Ferrazzi et al. · JACC 2026 · 350 patients","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/"},{"label":"Policlinico di Monza · heart centre brochure (2023)","url":"https://www.policlinicodimonza.it/wp-content/uploads/2024/04/BROCHURE-CENTRO-CUORE-MONZA_marzo23_WEB.pdf"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-paolo-ferrazzi/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside Paolo Ferrazzi’s profile → 350 patients, followed for a median 5.6 years The 2026 JACC report studied 350 consecutive patients treated at one centre over a five-year operating period. Follow-up was available for 344 patients. At the latest assessment, 271 were in NYHA class I and 65 in class II. How to interpret this: These are centre-cohort results, not Ferrazzi’s independently audited personal total. This observational study did not compare this technique directly with Cui’s MESM or other European surgeons. Sources: Ferrazzi et al. · JACC 2026 · 350 patients","links":[{"label":"Paolo Ferrazzi’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-paolo-ferrazzi/"},{"label":"Ferrazzi et al. · JACC 2026 · 350 patients","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/"}]}],"introduction":"Heart surgery guide / Policlinico di Monza Policlinico di Monza · Decision guide Policlinico di Monza: heart surgery expertise Monza, Italy · HCM myectomy that addresses abnormal mitral chordae Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Monza’s HCM work combines muscle resection with correction of selected abnormal secondary mitral chordae. The purpose is anatomical relief of obstruction while retaining the native valve, with longer follow-up than a purely early feasibility report. 350-patient follow-up The 2026 publication studies 350 consecutive patients with median follow-up of 5.6 years. Sources: Ferrazzi et al. · JACC 2026 · 350 patients Reported symptom status Of 344 patients with follow-up, 271 were in NYHA class I and 65 in class II at latest assessment. Sources: Ferrazzi et al. · JACC 2026 · 350 patients A connected heart centre Hospital materials describe cardiac surgery, cardiology, imaging, intensive care and rehabilitation, with a 2026 HCM research update. Sources: Policlinico di Monza · heart centre brochure (2023) · Monza · HCM research programme (March 2026) Policlinico di Monza, photographed with the hospital’s sign and grounds. · Image source ↗ Reported surgical experience 400+ septal myectomies Personal operations · Cumulative; counting cutoff not stated · source edition 2022-06-29 Personal myectomy experience in a June 2022 hospital brochure; includes expertise in mitral secondary-chordal work. Policlinico di Monza HCM brochure ↗ · source read 2026-10-08 Compare septal myectomy experience →","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"hcm-myectomy","title":"Septal myectomy for obstructive HCM: compare treatment options","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/hcm-myectomy/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/hcm-myectomy.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"doctor-paolo-ferrazzi","title":"Paolo Ferrazzi: HCM myectomy and mitral chordal cutting","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-paolo-ferrazzi/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-paolo-ferrazzi.json"},{"id":"septal-myectomy-surgeon-comparison","title":"HCM and septal myectomy surgeon rankings: experience, methods and results","kind":"evidence-directory","url":"https://hub.bookimed.com/heart-surgery/septal-myectomy-surgeon-comparison/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/septal-myectomy-surgeon-comparison.json"}],"entity":{"id":"policlinico-monza","name":"Policlinico di Monza — HCM and Valve Programme","country":"Italy","city":"Monza","surgeon_ids":["paolo-ferrazzi"],"topics":["hcm"],"source_attested_services":["HCM septal myectomy with secondary mitral chordal cutting"],"patient_task_fit":"HCM myectomy that addresses abnormal mitral chordae","value_headline":"HCM myectomy that addresses abnormal mitral chordae","value_summary":"Monza’s HCM work combines muscle resection with correction of selected abnormal secondary mitral chordae. The purpose is anatomical relief of obstruction while retaining the native valve, with longer follow-up than a purely early feasibility report.","highlights":[{"label":"350-patient follow-up","text":"The 2026 publication studies 350 consecutive patients with median follow-up of 5.6 years.","source_ids":["depth-ferrazzi-2026"]},{"label":"Reported symptom status","text":"Of 344 patients with follow-up, 271 were in NYHA class I and 65 in class II at latest assessment.","source_ids":["depth-ferrazzi-2026"]},{"label":"A connected heart centre","text":"Hospital materials describe cardiac surgery, cardiology, imaging, intensive care and rehabilitation, with a 2026 HCM research update.","source_ids":["depth-monza-brochure","depth-monza-2026"]}],"comparison_question":"","official_url":"https://www.policlinicodimonza.it/","source_ids":["depth-ferrazzi-2026","depth-monza-brochure","depth-monza-2026"],"guide_links":[{"slug":"hcm-myectomy","label":"HCM myectomy"},{"slug":"latent-obstructive-hcm","label":"SAM and latent obstruction"}],"clinic_route":"https://www.policlinicodimonza.it/","bookimed_route":null,"profile_slug":"clinic-policlinico-monza","photo":{"source_page":"https://www.policlinicodimonza.it/","width":430,"height":250,"alt":"Policlinico di Monza sign, grounds and hospital building","caption":"Policlinico di Monza, photographed with the hospital’s sign and grounds.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/policlinico-monza.jpg"},"comparison_answer":"Its studied HCM operation preserves the mitral valve while treating abnormal secondary chordae and septal muscle together.","key_takeaways":[{"label":"350-patient follow-up","text":"The 2026 publication studies 350 consecutive patients with median follow-up of 5.6 years.","sources":["depth-ferrazzi-2026"]},{"label":"Reported symptom status","text":"Of 344 patients with follow-up, 271 were in NYHA class I and 65 in class II at latest assessment.","sources":["depth-ferrazzi-2026"]},{"label":"A connected heart centre","text":"Hospital materials describe cardiac surgery, cardiology, imaging, intensive care and rehabilitation, with a 2026 HCM research update.","sources":["depth-monza-brochure","depth-monza-2026"]}],"benefits":[{"text":"Its studied HCM operation preserves the mitral valve while treating abnormal secondary chordae and septal muscle together.","sources":["depth-ferrazzi-2026","depth-monza-brochure","depth-monza-2026"]}],"limitations":[{"text":"This is observational centre evidence, not a randomized comparison with other myectomy methods. The scientific-director title for Ferrazzi comes from a 2023 brochure; the 2026 paper establishes his research affiliation rather than a personal operating schedule.","sources":["depth-ferrazzi-2026","depth-monza-brochure","depth-monza-2026"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null}]},"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"ferrazzi-career","provider_id":"paolo-ferrazzi","family":"hcm","subject_scope":"surgeon_operator","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":400,"relation":"more_than","display":"400+","unit":"HCM myectomies","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"Personal myectomy experience in a June 2022 hospital brochure; includes expertise in mitral secondary-chordal work.","source":{"url":"https://www.policlinicodimonza.it/wp-content/uploads/Brochure-Cardiomiopatia_29giugno-2022.pdf","title":"Policlinico di Monza HCM brochure","publisher":"Institution / clinical programme","published":null,"edition_date":"2022-06-29"},"checked_at":"2026-10-08"}],"views":[],"providers":[{"id":"paolo-ferrazzi","name":"Paolo Ferrazzi","clinic_id":"policlinico-monza","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-paolo-ferrazzi.json"}],"excluded":[{"fact_id":"ferrazzi-career","reason":"historical count; retained in profile"}],"default_views":{},"coverage":[{"provider_id":"paolo-ferrazzi","family":"hcm","gaps":["Career threshold is published in 2022 brochure, not updated 2026 annual activity.","Exact accrual years unavailable in 2026 abstract."],"source_ids":["depth-ferrazzi-2026"],"unresolved_source_ids":["ferrazzi-brochure"]}]},"sources":{"depth-ferrazzi-2026":{"title":"Ferrazzi et al. · JACC 2026 · 350 patients","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/","publisher":"JACC / PubMed","read_at":"2026-10-08","label":"Ferrazzi et al. · JACC 2026 · 350 patients","retrieval":"Europe PMC full indexed abstract; PMID 42307496","published":"2026-06-17"},"depth-monza-brochure":{"title":"Policlinico di Monza · heart centre brochure (2023)","url":"https://www.policlinicodimonza.it/wp-content/uploads/2024/04/BROCHURE-CENTRO-CUORE-MONZA_marzo23_WEB.pdf","publisher":"Official hospital / clinical programme","read_at":"2026-10-08","label":"Policlinico di Monza · heart centre brochure (2023)","published":"2023"},"depth-monza-2026":{"title":"Monza · HCM research programme (March 2026)","url":"https://www.policlinicodimonza.it/news/cardiochirurgia-la-dott-ssa-ilaria-giambuzzi-al-57-congresso-nazionale-anmco/","publisher":"Official hospital / clinical programme","read_at":"2026-10-08","label":"Monza · HCM research programme (March 2026)"},"tp-monza":{"title":"Monza: 350-patient myectomy and chordal-cutting cohort","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/","kind":"primary clinical study; indexed abstract read","checked":"2026-10-08","accessed":"2026-10-08"},"pc-monza350":{"title":"Long-Term Outcome of Myectomy Associated With Secondary Mitral Valve Chordal Cutting in Obstructive Hypertrophic Cardiomyopathy.","url":"https://pubmed.ncbi.nlm.nih.gov/42307496/","kind":"primary peer-reviewed study; indexed abstract","checked":"2026-10-08","accessed":"2026-10-08"},"volume-ferrazzi-career":{"id":"volume-ferrazzi-career","title":"Policlinico di Monza HCM brochure","url":"https://www.policlinicodimonza.it/wp-content/uploads/Brochure-Cardiomiopatia_29giugno-2022.pdf","publisher":"Institution / clinical programme","published":null,"read_at":"2026-10-08","source_type":"Reported clinical activity; scope shown with figure"}}}