{"schema_version":"bookimed.page-context.v1","id":"programme-cui-hcm","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/programme-cui-hcm.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":"treatment-programme","title":"HCM surgery with Yong Cui: breastbone-sparing, $25,000–40,000","summary":"Yong Cui’s team removes the muscle obstructing blood flow through a 4–5 cm incision beneath the right arm. The breastbone stays intact, avoiding the bone-healing phase of a sternotomy. Estimated programme cost: $25,000–40,000 USD.","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":"No breastbone to knit back together","text":"A 4–5 cm underarm incision preserves the sternum. Recovery avoids the bone-healing phase associated with splitting the breastbone.","sources":["tp-cui100","br-sternum-gstt"]},{"label":"85.8 → 8.4 mmHg","text":"Mean pressure gradient across the obstructed outflow fell to 8.4 mmHg in the 100-patient MESM study, showing marked relief of the blockage.","sources":["tp-cui100"]},{"label":"$25,000–40,000","text":"Estimated programme cost in Hangzhou; the final quotation reflects the operation and included care.","sources":[]}],"benefits":[{"text":"Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity.","sources":["tp-cui100","br-sternum-gstt"]},{"text":"The 4–5 cm incision sits beneath the right arm, away from the centre of the chest. All 100 patients in the published MESM series completed surgery through this access.","sources":["tp-cui100"]},{"text":"The operation addresses the blockage that restricts blood flow. In the published series, outflow pressure fell substantially and abnormal forward movement of the mitral valve during contraction was eliminated.","sources":["tp-cui100"]},{"text":"Small-incision heart surgery often offers less pain and a quicker return to daily activities. Mayo Clinic describes these benefits across minimally invasive cardiac operations; the individual timetable depends on the operation and recovery.","sources":["C06"]}],"limitations":[{"text":"Four of the 100 patients in the published MESM series needed a permanent pacemaker. Bleeding and other heart-surgery complications also influence the recovery plan.","sources":["tp-cui100","tp-cui148"]},{"text":"The location of obstruction and the mitral valve and papillary-muscle anatomy determine the operation and any additional repair.","sources":["tp-hcm-guideline","tp-cui100"]},{"text":"HCM follow-up continues after relief of obstruction, including rhythm-risk assessment and appropriate family screening.","sources":["tp-hcm-guideline"]}],"sections":[{"id":"clinical-fit","title":"Who this programme may suit","text":"Who this programme may suit Obstructive HCM with symptoms attributable to restricted outflow despite appropriate medical treatment. The operation is selected from the location of obstruction, septal thickness, mitral-valve geometry and supporting structures; some patients need additional valve or papillary-muscle correction. Echocardiography measures resting and provoked obstruction and shows how the mitral valve moves. Cardiac MRI can clarify anatomy when echocardiography leaves uncertainty. Septal muscle, mitral leaflets, chordae and papillary muscles can all contribute to obstruction. Their contribution determines the extent of surgery and whether the planned infra-axillary access is suitable. Sources: 2024 AHA/ACC HCM guideline — ACC summary · MESM: 100-patient observational study · MESM: minimally invasive electro septal myectomy","links":[{"label":"2024 AHA/ACC HCM guideline — ACC summary","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"MESM: minimally invasive electro septal myectomy","url":"https://mesmsurgery.com/"}]},{"id":"breastbone-benefit","title":"What keeping your breastbone intact changes","text":"What keeping your breastbone intact changes The practical advantage is more than a smaller scar: the sternum is not divided. After a sternotomy, everyday movements such as pushing out of a chair, lifting a shopping bag or getting out of bed have to take the healing breastbone into account. Guy’s and St Thomas’ describes about three months for full breastbone healing after sternotomy and gives different movement guidance for approaches between the ribs. Preserving the sternum removes that bone-healing step; the incision and the heart still recover gradually. Recovery detail Sternotomy Cui’s planned underarm MESM access Breastbone Divided and secured after surgery; bone healing continues over the following months. Left intact; no sternotomy bone wound to heal. Everyday upper-body movement Movement and lifting guidance protects the healing sternum. No divided sternum to protect; activity progresses with wound comfort and the clinical recovery plan. Incision and scar An incision along the front of the chest. A 4–5 cm incision beneath the right arm in the published MESM series. Sources: MESM: 100-patient observational study · Guy’s and St Thomas’: breastbone healing and movement after heart surgery · Mayo Clinic: minimally invasive surgery","links":[{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Guy’s and St Thomas’: breastbone healing and movement after heart surgery","url":"https://www.guysandstthomas.nhs.uk/health-information/physiotherapy-heart-surgery"},{"label":"Mayo Clinic: minimally invasive surgery","url":"https://www.mayoclinic.org/tests-procedures/minimally-invasive-heart-surgery/about/pac-20384895"}],"tables":[[["Recovery detail","Sternotomy","Cui’s planned underarm MESM access"],["Breastbone","Divided and secured after surgery; bone healing continues over the following months.","Left intact; no sternotomy bone wound to heal."],["Everyday upper-body movement","Movement and lifting guidance protects the healing sternum.","No divided sternum to protect; activity progresses with wound comfort and the clinical recovery plan."],["Incision and scar","An incision along the front of the chest.","A 4–5 cm incision beneath the right arm in the published MESM series."]]]},{"id":"benefit-balance","title":"Benefits and trade-offs","text":"Benefits and trade-offs Potential advantages Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity. Sources: MESM: 100-patient observational study · Guy’s and St Thomas’: breastbone healing and movement after heart surgery The 4–5 cm incision sits beneath the right arm, away from the centre of the chest. All 100 patients in the published MESM series completed surgery through this access. Sources: MESM: 100-patient observational study The operation addresses the blockage that restricts blood flow. In the published series, outflow pressure fell substantially and abnormal forward movement of the mitral valve during contraction was eliminated. Sources: MESM: 100-patient observational study Small-incision heart surgery often offers less pain and a quicker return to daily activities. Mayo Clinic describes these benefits across minimally invasive cardiac operations; the individual timetable depends on the operation and recovery. Sources: Mayo Clinic: minimally invasive surgery Trade-offs and limits Four of the 100 patients in the published MESM series needed a permanent pacemaker. Bleeding and other heart-surgery complications also influence the recovery plan. Sources: MESM: 100-patient observational study · Infra-axillary myectomy: earlier 148-patient study The location of obstruction and the mitral valve and papillary-muscle anatomy determine the operation and any additional repair. Sources: 2024 AHA/ACC HCM guideline — ACC summary · MESM: 100-patient observational study HCM follow-up continues after relief of obstruction, including rhythm-risk assessment and appropriate family screening. Sources: 2024 AHA/ACC HCM guideline — ACC summary","links":[{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Guy’s and St Thomas’: breastbone healing and movement after heart surgery","url":"https://www.guysandstthomas.nhs.uk/health-information/physiotherapy-heart-surgery"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Mayo Clinic: minimally invasive surgery","url":"https://www.mayoclinic.org/tests-procedures/minimally-invasive-heart-surgery/about/pac-20384895"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Infra-axillary myectomy: earlier 148-patient study","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11632347/"},{"label":"2024 AHA/ACC HCM guideline — ACC summary","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"2024 AHA/ACC HCM guideline — ACC summary","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"}]},{"id":"programme-price","title":"Price and included care","text":"Price and included care $25,000–40,000 estimated cost Estimated programme cost: $25,000–40,000 USD. The final quotation specifies the planned operation, hospital care and any additional procedures. The treatment pathway combines HCM imaging and operative planning, myectomy, specialist anaesthesia, monitored hospital care and nursing support. The quotation defines the included stay, additional procedures and follow-up. Care / cost item Published care and cost scope Diagnostics and operative planning Echocardiography locates the obstruction and assesses the mitral valve and supporting structures; additional imaging refines the plan when needed. Surgery and hospital care Myectomy, anaesthesia, rhythm and blood-pressure monitoring, nursing and gradual mobilisation form the clinical pathway. Estimated programme cost $25,000–40,000 USD. The final quotation itemises hospital nights, any additional valve work, interpretation and follow-up. Travel and accommodation are specified separately.","links":[],"tables":[[["Care / cost item","Published care and cost scope"],["Diagnostics and operative planning","Echocardiography locates the obstruction and assesses the mitral valve and supporting structures; additional imaging refines the plan when needed."],["Surgery and hospital care","Myectomy, anaesthesia, rhythm and blood-pressure monitoring, nursing and gradual mobilisation form the clinical pathway."],["Estimated programme cost","$25,000–40,000 USD. The final quotation itemises hospital nights, any additional valve work, interpretation and follow-up. Travel and accommodation are specified separately."]]]},{"id":"care-journey","title":"Your route from assessment to follow-up","text":"Your route from assessment to follow-up Anatomy and treatment assessment HCM imaging and treatment history establish where obstruction occurs and which structures require correction. Sources: 2024 AHA/ACC HCM guideline — ACC summary · MESM: 100-patient observational study Operation MESM removes obstructing septal muscle through the right underarm route; additional anatomical problems can change the operative scope. Sources: MESM: 100-patient observational study · MESM: minimally invasive electro septal myectomy Hospital recovery The team supports sitting out of bed, breathing exercises and progressively longer walks while monitoring rhythm, circulation and pain. In a separate 132-patient mid-cavity MESM conference series, 93.2% had the breathing tube removed in the operating room. Sources: AATS 2026: Cui MESM for mid-cavity obstruction · Mayo Clinic: minimally invasive surgery Continuing HCM care Follow-up includes symptom and imaging review and ongoing rhythm-risk assessment. Relief of obstruction does not end HCM care. Sources: 2024 AHA/ACC HCM guideline — ACC summary","links":[{"label":"2024 AHA/ACC HCM guideline — ACC summary","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"MESM: minimally invasive electro septal myectomy","url":"https://mesmsurgery.com/"},{"label":"AATS 2026: Cui MESM for mid-cavity obstruction","url":"https://www.aats.org/resources/minimally-invasive-electro-sep-12255"},{"label":"Mayo Clinic: minimally invasive surgery","url":"https://www.mayoclinic.org/tests-procedures/minimally-invasive-heart-surgery/about/pac-20384895"},{"label":"2024 AHA/ACC HCM guideline — ACC summary","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"}]},{"id":"evidence","title":"What the research tells you","text":"What the research tells you 100 patients in the MESM journal study Among consecutive patients treated in November 2023–May 2024, mean LVOT gradient fell from 85.8 to 8.4 mmHg. All operations used the planned small incision; four patients required a permanent pacemaker and no in-hospital deaths were observed. 100 consecutive patients at one centre, November 2023–May 2024; outcomes measured early after surgery. The study reports no in-hospital deaths and four permanent pacemakers. Sources: MESM: 100-patient observational study 132 patients in an AATS 2026 conference report Cui presented patients with mid-cavity obstruction treated in November 2023–August 2025. Mean mid-cavity gradient fell from 85.4 to 8.5 mmHg; 123 patients (93.2%) were extubated in the operating room. Conference abstract, not a full journal cohort report. Patients may overlap the 100-patient study; the counts cannot be added. Pacemaker incidence was not provided. Sources: AATS 2026: Cui MESM for mid-cavity obstruction An earlier 148-patient operation The earlier 148-patient modified-Morrow study reported a median ICU stay of 20 hours and mean postoperative hospital stay of 9.7 days, with eight permanent pacemakers and one in-hospital death. This September 2021–July 2023 cohort used an earlier technique. Its hospital stay is a historical study result, not the current MESM programme schedule. Sources: Infra-axillary myectomy: earlier 148-patient study","links":[{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"AATS 2026: Cui MESM for mid-cavity obstruction","url":"https://www.aats.org/resources/minimally-invasive-electro-sep-12255"},{"label":"Infra-axillary myectomy: earlier 148-patient study","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11632347/"}]},{"id":"recovery","title":"Recovery: walking, healing and returning home","text":"Recovery: walking, healing and returning home With the planned underarm access, the sternum remains intact. That means there is no divided breastbone to knit together or sternotomy wound to protect while recovering. Walking builds progressively as pain control, breathing and strength improve. Discharge, longer walks, driving and flying each have their own readiness criteria; the plan follows the actual operation and your progress. Sources: MESM: 100-patient observational study · Guy’s and St Thomas’: breastbone healing and movement after heart surgery · Mayo Clinic: minimally invasive surgery Recovery ↗ HCM & myectomy ↗","links":[{"label":"MESM: 100-patient observational study","url":"https://pubmed.ncbi.nlm.nih.gov/41109584/"},{"label":"Guy’s and St Thomas’: breastbone healing and movement after heart surgery","url":"https://www.guysandstthomas.nhs.uk/health-information/physiotherapy-heart-surgery"},{"label":"Mayo Clinic: minimally invasive surgery","url":"https://www.mayoclinic.org/tests-procedures/minimally-invasive-heart-surgery/about/pac-20384895"},{"label":"Recovery ↗","url":"https://hub.bookimed.com/heart-surgery/recovery/"},{"label":"HCM & myectomy ↗","url":"https://hub.bookimed.com/heart-surgery/hcm-myectomy/"}]},{"id":"professional-activity","title":"Published work and international professional activity","text":"Published work and international professional activity The AATS biography records a clinical fellowship at the Mazankowski Heart Institute, University of Alberta, Canada, from July 2010 to December 2012, and leadership of cardiovascular surgery at Zhejiang Provincial People’s Hospital from October 2015. Cui presented the mid-cavity MESM series at AATS in 2026. ESC lists his MESM presentation at its 2025 Congress, and the ISMICS 2024 Osaka workshop lists him as international faculty. Sources: AATS 2026: Cui MESM for mid-cavity obstruction · ESC Congress 2025: Cui MESM presentation · ISMICS 2024 Osaka workshop international faculty","links":[{"label":"AATS 2026: Cui MESM for mid-cavity obstruction","url":"https://www.aats.org/resources/minimally-invasive-electro-sep-12255"},{"label":"ESC Congress 2025: Cui MESM presentation","url":"https://esc365.escardio.org/presentation/303205?resource=abstract"},{"label":"ISMICS 2024 Osaka workshop international faculty","url":"https://www.uproses.co.jp/ismics2024/"}]},{"id":"china-practical-care","title":"Practical details of treatment in Hangzhou","text":"Practical details of treatment in Hangzhou Practical detail What it means for your stay Internet Google, Facebook, YouTube and X are blocked in mainland China. Offline medical records and a locally accessible communication channel reduce dependence on those services. Language English-speaking clinical staff are not universal in China. Interpretation, bedside assistance and their cost form part of the travel and care arrangements. Meals and personal care The meal plan, dietary needs and help with daily personal care are part of the hospital-stay arrangements. Records for home follow-up Discharge documents may be issued in Chinese. A translated operation report, discharge summary and medicine list support continuity with the home cardiologist. Sources: China travel advice: Internet access · Medical treatment in China","links":[{"label":"China travel advice: Internet access","url":"https://www.gov.uk/foreign-travel-advice/china/safety-and-security"},{"label":"Medical treatment in China","url":"https://www.gov.uk/government/publications/medical-treatment-in-china/medical-treatment-in-china"}],"tables":[[["Practical detail","What it means for your stay"],["Internet","Google, Facebook, YouTube and X are blocked in mainland China. Offline medical records and a locally accessible communication channel reduce dependence on those services."],["Language","English-speaking clinical staff are not universal in China. Interpretation, bedside assistance and their cost form part of the travel and care arrangements."],["Meals and personal care","The meal plan, dietary needs and help with daily personal care are part of the hospital-stay arrangements."],["Records for home follow-up","Discharge documents may be issued in Chinese. A translated operation report, discharge summary and medicine list support continuity with the home cardiologist."]]]},{"id":"patient-experience","title":"Patient experience and reviews","text":"Patient experience and reviews The accounts below identify the setting and procedure so you can judge how closely they match your needs. They describe experience with care, not the chance of a surgical result. An HCM consultation A reviewer said the consultation reassured them while they awaited further treatment. HOCM consultation experience · 2023-03-10 · WeDoctor / Guahao HOCM diagnosis; consultation only; no operation described. Summary of the original; not clinical outcome evidence. Read the source account ↗ A concern about online consultation A reviewer wanted a treatment plan from the online consultation and was disappointed to be directed to an in-person visit. Different condition: valve consultation · 2024-11-19 · WeDoctor / Guahao Valve disease; online consultation, not HCM or surgery. Summary of the original; not clinical outcome evidence. Read the source account ↗ A patient story published by the hospital A hospital-published account describes surgery with Cui’s team in September 2023, supportive nursing care and symptom improvement at the writer’s 40-day follow-up. Hospital-published patient story · HOCM surgery in 2023 · 2024-05-31 · Account displayed as Zhejiang Provincial People’s Hospital official on Sohu HOCM surgery described through a right axillary approach; exact modern MESM protocol/version is not established by this account. Summary of the original; not clinical outcome evidence. Read the source account ↗ For the separate experience of using Bookimed, read the coordination-service reviews on Trustpilot . These are not ratings of this surgeon or this operation.","links":[{"label":"Read the source account ↗","url":"https://wy.guahao.com/expert/experience/4cead281-26e7-459f-8d42-f85a9773d648000"},{"label":"Read the source account ↗","url":"https://wy.guahao.com/expert/experience/4cead281-26e7-459f-8d42-f85a9773d648000"},{"label":"Read the source account ↗","url":"https://www.sohu.com/a/782785569_121902562"},{"label":"read the coordination-service reviews on Trustpilot","url":"https://uk.trustpilot.com/review/www.bookimed.com"}]},{"id":"alternatives","title":"Compare other programmes for this condition","text":"Compare other programmes for this condition Cleveland, United States Nicholas Smedira · complex HCM surgery ↗ Nicholas Smedira Cleveland Clinic HCM Center Specialist HCM imaging and myectomy that can also correct mitral-leaflet or papillary-muscle causes of obstruction. Quote on request Individual estimate after assessment. A historical series of 1,559 LVOT operations, including 1,530 myectomies and 522 myectomies with mitral or subvalvular intervention. See method, care and package ↗ New York, United States NYU HCM team · anatomy and access choices ↗ 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. See method, care and package ↗","links":[{"label":"Nicholas Smedira · complex HCM surgery ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cleveland-hcm/"},{"label":"See method, care and package ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cleveland-hcm/"},{"label":"NYU HCM team · anatomy and access choices ↗","url":"https://hub.bookimed.com/heart-surgery/programme-nyu-hcm/"},{"label":"See method, care and package ↗","url":"https://hub.bookimed.com/heart-surgery/programme-nyu-hcm/"}]}],"introduction":"Heart surgery guide / Yong Cui · HCM surgery Yong Cui · HCM surgery · Decision guide HCM surgery with Yong Cui: breastbone-sparing, $25,000–40,000 A 4–5 cm underarm incision keeps the breastbone intact: no divided breastbone to heal while you rebuild walking and everyday activity. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Yong Cui’s team removes the muscle obstructing blood flow through a 4–5 cm incision beneath the right arm. The breastbone stays intact, avoiding the bone-healing phase of a sternotomy. Estimated programme cost: $25,000–40,000 USD. No breastbone to knit back together A 4–5 cm underarm incision preserves the sternum. Recovery avoids the bone-healing phase associated with splitting the breastbone. Sources: MESM: 100-patient observational study · Guy’s and St Thomas’: breastbone healing and movement after heart surgery 85.8 → 8.4 mmHg Mean pressure gradient across the obstructed outflow fell to 8.4 mmHg in the 100-patient MESM study, showing marked relief of the blockage. Sources: MESM: 100-patient observational study $25,000–40,000 Estimated programme cost in Hangzhou; the final quotation reflects the operation and included care. Reported surgical experience 1,000+ septal myectomies Programme operations · Cumulative; counting cutoff not stated HCM myectomy programme using an underarm route that preserves the breastbone. MESM programme / Yong Cui ↗ · source read 2026-10-08 5,000+ Minimally invasive cardiac operations across conditions Programme operations · Cumulative; counting cutoff not stated Minimally invasive heart operations across conditions since 2018; this is broader than HCM. Yong Cui practice overview ↗ · source read 2026-10-08 250+ septal myectomies Programme operations · Calendar year 2024 · published 2025-01-31 · counting date 2024-12-31 Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included. 心有“勇”术｜崔勇：寻道创新，微步致远 ↗ · source read 2026-10-08 Compare septal myectomy experience → Zhejiang Provincial People’s Hospital, Zhaohui campus, Hangzhou. Photo: Huandy618, January 2025 (CC0). · Photo source Yong Cui → Zhejiang Provincial People’s Hospital Hangzhou, China Minimally invasive electro-septal myectomy (MESM) $25,000–40,000 estimated cost USD · estimated programme range · updated 8 October 2026. Yong Cui directs cardiovascular surgery at Zhejiang Provincial People’s Hospital. He is a named author of the MESM study and the presenter of the 2026 AATS mid-cavity-obstruction series.","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":"cost","title":"Heart surgery costs: valve surgery and CABG quotes","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/cost/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/cost.json"},{"id":"recovery","title":"Recovery after heart surgery: hospital, home and travel","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/recovery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/recovery.json"},{"id":"doctor-yong-cui","title":"Yong Cui: septal myectomy and minimally invasive HCM surgery","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-yong-cui/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-yong-cui.json"},{"id":"clinic-zhejiang","title":"Zhejiang Provincial People’s Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-zhejiang/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-zhejiang.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"},{"id":"hcm-treatment-programmes","title":"HCM surgery programmes: compare surgeons, methods and costs","kind":"treatment-listing","url":"https://hub.bookimed.com/heart-surgery/hcm-treatment-programmes/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/hcm-treatment-programmes.json"},{"id":"programme-cleveland-hcm","title":"Nicholas Smedira at Cleveland Clinic: HCM myectomy, care and cost","kind":"treatment-programme","url":"https://hub.bookimed.com/heart-surgery/programme-cleveland-hcm/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/programme-cleveland-hcm.json"},{"id":"programme-nyu-hcm","title":"NYU HCM surgery: mitral-preserving and robotic myectomy programmes","kind":"treatment-programme","url":"https://hub.bookimed.com/heart-surgery/programme-nyu-hcm/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/programme-nyu-hcm.json"}],"entity":{"id":"cui-hcm","condition":"Obstructive hypertrophic cardiomyopathy","condition_id":"hcm-obstructive","title":"HCM surgery with Yong Cui: breastbone-sparing, $25,000–40,000","doctor_id":"yong-cui","doctor":"Yong Cui","clinic_id":"zhejiang","clinic":"Zhejiang Provincial People’s Hospital","location":"Hangzhou, China","method":"Minimally invasive electro-septal myectomy (MESM)","focus":["incision","mitral","priced"],"card_benefit":"A 4–5 cm underarm incision keeps the breastbone intact: no divided breastbone to heal while you rebuild walking and everyday activity.","clinical_fit":"Obstructive HCM with symptoms attributable to restricted outflow despite appropriate medical treatment. The operation is selected from the location of obstruction, septal thickness, mitral-valve geometry and supporting structures; some patients need additional valve or papillary-muscle correction.","evidence":"Published 100-patient MESM series; separate 132-patient mid-cavity conference report and earlier 148-patient modified-Morrow study.","evidence_source":"tp-cui100","price":null,"price_label":"$25,000–40,000 estimated cost","commercial_status":"Indicative programme price range; individual quotation after clinical assessment","review_coverage":"Hospital-published HCM story and consultation feedback; no independent postoperative MESM review qualified in this pass.","doctor_profile":"/heart-surgery/doctor-yong-cui/","clinic_profile":"/heart-surgery/clinic-zhejiang/","link":"/heart-surgery/programme-cui-hcm/","cta":"Request my HCM assessment","preference":"Yong Cui — Zhejiang Provincial People’s Hospital — HCM programme","topic":"HCM / septal myectomy","photo":{"source_page":"https://commons.wikimedia.org/wiki/File:Zhejiang_Provincial_People%27s_Hospital_01.jpg","width":3468,"height":4624,"alt":"Illuminated Zhejiang Provincial People’s Hospital building at its Zhaohui campus in Hangzhou.","caption":"Zhejiang Provincial People’s Hospital, Zhaohui campus, Hangzhou. Photo: Huandy618, January 2025 (CC0).","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/zhejiang-768x1024.jpg"},"portrait":{"url":"https://hub.bookimed.com/wp-content/uploads/2026/10/yong-cui-200x300.jpg","source_page":"https://dryongcuiheartsurgery.com/","width":760,"height":1140,"alt":"Yong Cui — official portrait"},"operator_assignment":"Yong Cui directs cardiovascular surgery at Zhejiang Provincial People’s Hospital. He is a named author of the MESM study and the presenter of the 2026 AATS mid-cavity-obstruction series.","care_summary":"The treatment pathway combines HCM imaging and operative planning, myectomy, specialist anaesthesia, monitored hospital care and nursing support. The quotation defines the included stay, additional procedures and follow-up.","slug":"programme-cui-hcm","topic_key":"hcm","listing_slug":"hcm-treatment-programmes","label":"Yong Cui · HCM surgery","clinical_sources":["tp-hcm-guideline","tp-cui100","rank-cui-mesm"],"benefit_sources":["tp-cui100","br-sternum-gstt","C06"],"price_kind":"indicative_range","price_note_short":"USD · estimated programme range · updated 8 October 2026.","price_note":"Estimated programme cost: $25,000–40,000 USD. The final quotation specifies the planned operation, hospital care and any additional procedures.","assessment":["Echocardiography measures resting and provoked obstruction and shows how the mitral valve moves. Cardiac MRI can clarify anatomy when echocardiography leaves uncertainty.","Septal muscle, mitral leaflets, chordae and papillary muscles can all contribute to obstruction. Their contribution determines the extent of surgery and whether the planned infra-axillary access is suitable."],"package_rows":[["Diagnostics and operative planning","Echocardiography locates the obstruction and assesses the mitral valve and supporting structures; additional imaging refines the plan when needed."],["Surgery and hospital care","Myectomy, anaesthesia, rhythm and blood-pressure monitoring, nursing and gradual mobilisation form the clinical pathway."],["Estimated programme cost","$25,000–40,000 USD. The final quotation itemises hospital nights, any additional valve work, interpretation and follow-up. Travel and accommodation are specified separately."]],"journey":[{"title":"Anatomy and treatment assessment","text":"HCM imaging and treatment history establish where obstruction occurs and which structures require correction.","sources":["tp-hcm-guideline","tp-cui100"]},{"title":"Operation","text":"MESM removes obstructing septal muscle through the right underarm route; additional anatomical problems can change the operative scope.","sources":["tp-cui100","rank-cui-mesm"]},{"title":"Hospital recovery","text":"The team supports sitting out of bed, breathing exercises and progressively longer walks while monitoring rhythm, circulation and pain. In a separate 132-patient mid-cavity MESM conference series, 93.2% had the breathing tube removed in the operating room.","sources":["br-cui-aats2026","C06"]},{"title":"Continuing HCM care","text":"Follow-up includes symptom and imaging review and ongoing rhythm-risk assessment. Relief of obstruction does not end HCM care.","sources":["tp-hcm-guideline"]}],"reviews":[{"id":"cui-guahao-hocm-consultation-20230310","display_programme":"cui-hcm","scope":"doctor","scope_label":"HOCM consultation experience","entity_id":"yong-cui","title":"An HCM consultation","summary":"A reviewer said the consultation reassured them while they awaited further treatment.","author":"张**","date":"2023-03-10","platform":"WeDoctor / Guahao","url":"https://wy.guahao.com/expert/experience/4cead281-26e7-459f-8d42-f85a9773d648000","individual_url":null,"verification_label":"Page labels its collection as real patient reviews; individual author identity and clinical claims were not independently checked.","relevance_limit":"HOCM diagnosis; consultation only; no operation described. Summary of the original; not clinical outcome evidence.","source_id":"tp-REV01","clinical_effectiveness_evidence":false,"selected_example_not_representative_sample":true,"use_in_aggregate_rating":false,"public_rendering_status":"source-linked paraphrase candidate"},{"id":"cui-guahao-valve-consultation-20241119","display_programme":"cui-hcm","scope":"doctor","scope_label":"Different condition: valve consultation","entity_id":"yong-cui","title":"A concern about online consultation","summary":"A reviewer wanted a treatment plan from the online consultation and was disappointed to be directed to an in-person visit.","author":"陈**","date":"2024-11-19","platform":"WeDoctor / Guahao","url":"https://wy.guahao.com/expert/experience/4cead281-26e7-459f-8d42-f85a9773d648000","individual_url":null,"verification_label":"Page labels its collection as real patient reviews; individual author identity and clinical claims were not independently checked.","relevance_limit":"Valve disease; online consultation, not HCM or surgery. Summary of the original; not clinical outcome evidence.","source_id":"tp-REV01","clinical_effectiveness_evidence":false,"selected_example_not_representative_sample":true,"use_in_aggregate_rating":false,"public_rendering_status":"source-linked paraphrase candidate"},{"id":"cui-hospital-hocm-story-20240531","display_programme":"cui-hcm","scope":"clinic","scope_label":"Hospital-published patient story · HOCM surgery in 2023","entity_id":"yong-cui","title":"A patient story published by the hospital","summary":"A hospital-published account describes surgery with Cui’s team in September 2023, supportive nursing care and symptom improvement at the writer’s 40-day follow-up.","author":"Unnamed first-person patient narrator; article compiled by hospital account","date":"2024-05-31","platform":"Account displayed as Zhejiang Provincial People’s Hospital official on Sohu","url":"https://www.sohu.com/a/782785569_121902562","individual_url":null,"verification_label":"Article says it was compiled from patient notes; no independent patient-verification label.","relevance_limit":"HOCM surgery described through a right axillary approach; exact modern MESM protocol/version is not established by this account. Summary of the original; not clinical outcome evidence.","source_id":"tp-REV02","clinical_effectiveness_evidence":false,"selected_example_not_representative_sample":true,"use_in_aggregate_rating":false,"public_rendering_status":"source-linked paraphrase candidate"}],"review_intro":"The accounts below identify the setting and procedure so you can judge how closely they match your needs. They describe experience with care, not the chance of a surgical result.","recovery":"With the planned underarm access, the sternum remains intact. That means there is no divided breastbone to knit together or sternotomy wound to protect while recovering. Walking builds progressively as pain control, breathing and strength improve. Discharge, longer walks, driving and flying each have their own readiness criteria; the plan follows the actual operation and your progress.","recovery_sources":["tp-cui100","br-sternum-gstt","C06"],"faq":[],"seo_title":"Yong Cui HCM Surgery: Small Incision, $25,000–40,000 | Bookimed","summary":"Yong Cui’s team removes the muscle obstructing blood flow through a 4–5 cm incision beneath the right arm. The breastbone stays intact, avoiding the bone-healing phase of a sternotomy. Estimated programme cost: $25,000–40,000 USD.","currency":"USD","price_provenance":{"type":"indicative_programme_range","date":"2026-10-08","min":25000,"max":40000,"currency":"USD","scope":"Individual quotation specifies included care and final price"},"benefits":["Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity.","The 4–5 cm incision sits beneath the right arm, away from the centre of the chest. All 100 patients in the published MESM series completed surgery through this access.","The operation addresses the blockage that restricts blood flow. In the published series, outflow pressure fell substantially and abnormal forward movement of the mitral valve during contraction was eliminated.","Small-incision heart surgery often offers less pain and a quicker return to daily activities. Mayo Clinic describes these benefits across minimally invasive cardiac operations; the individual timetable depends on the operation and recovery."],"evidence_blocks":[{"title":"100 patients in the MESM journal study","text":"Among consecutive patients treated in November 2023–May 2024, mean LVOT gradient fell from 85.8 to 8.4 mmHg. All operations used the planned small incision; four patients required a permanent pacemaker and no in-hospital deaths were observed.","limit":"100 consecutive patients at one centre, November 2023–May 2024; outcomes measured early after surgery. The study reports no in-hospital deaths and four permanent pacemakers.","sources":["tp-cui100"]},{"title":"132 patients in an AATS 2026 conference report","text":"Cui presented patients with mid-cavity obstruction treated in November 2023–August 2025. Mean mid-cavity gradient fell from 85.4 to 8.5 mmHg; 123 patients (93.2%) were extubated in the operating room.","limit":"Conference abstract, not a full journal cohort report. Patients may overlap the 100-patient study; the counts cannot be added. Pacemaker incidence was not provided.","sources":["br-cui-aats2026"]},{"title":"An earlier 148-patient operation","text":"The earlier 148-patient modified-Morrow study reported a median ICU stay of 20 hours and mean postoperative hospital stay of 9.7 days, with eight permanent pacemakers and one in-hospital death.","limit":"This September 2021–July 2023 cohort used an earlier technique. Its hospital stay is a historical study result, not the current MESM programme schedule.","sources":["tp-cui148"]}],"key_takeaways":[{"label":"No breastbone to knit back together","text":"A 4–5 cm underarm incision preserves the sternum. Recovery avoids the bone-healing phase associated with splitting the breastbone.","sources":["tp-cui100","br-sternum-gstt"]},{"label":"85.8 → 8.4 mmHg","text":"Mean pressure gradient across the obstructed outflow fell to 8.4 mmHg in the 100-patient MESM study, showing marked relief of the blockage.","sources":["tp-cui100"]},{"label":"$25,000–40,000","text":"Estimated programme cost in Hangzhou; the final quotation reflects the operation and included care.","sources":[]}],"patient_benefits":[{"text":"Preserving the breastbone removes a major recovery burden: healing a surgically divided sternum. Daily movement can focus on comfort, the chest-wall wound and gradually rebuilding activity.","sources":["tp-cui100","br-sternum-gstt"]},{"text":"The 4–5 cm incision sits beneath the right arm, away from the centre of the chest. All 100 patients in the published MESM series completed surgery through this access.","sources":["tp-cui100"]},{"text":"The operation addresses the blockage that restricts blood flow. In the published series, outflow pressure fell substantially and abnormal forward movement of the mitral valve during contraction was eliminated.","sources":["tp-cui100"]},{"text":"Small-incision heart surgery often offers less pain and a quicker return to daily activities. Mayo Clinic describes these benefits across minimally invasive cardiac operations; the individual timetable depends on the operation and recovery.","sources":["C06"]}],"patient_limitations":[{"text":"Four of the 100 patients in the published MESM series needed a permanent pacemaker. Bleeding and other heart-surgery complications also influence the recovery plan.","sources":["tp-cui100","tp-cui148"]},{"text":"The location of obstruction and the mitral valve and papillary-muscle anatomy determine the operation and any additional repair.","sources":["tp-hcm-guideline","tp-cui100"]},{"text":"HCM follow-up continues after relief of obstruction, including rhythm-risk assessment and appropriate family screening.","sources":["tp-hcm-guideline"]}],"extra_sections":[{"id":"professional-activity","title":"Published work and international professional activity","paragraphs":["The AATS biography records a clinical fellowship at the Mazankowski Heart Institute, University of Alberta, Canada, from July 2010 to December 2012, and leadership of cardiovascular surgery at Zhejiang Provincial People’s Hospital from October 2015.","Cui presented the mid-cavity MESM series at AATS in 2026. ESC lists his MESM presentation at its 2025 Congress, and the ISMICS 2024 Osaka workshop lists him as international faculty."],"items":[],"table":null,"links":[],"sources":["br-cui-aats2026","br-cui-esc2025","br-cui-ismics2024"],"kind":null},{"id":"china-practical-care","title":"Practical details of treatment in Hangzhou","paragraphs":[],"items":[],"table":{"headers":["Practical detail","What it means for your stay"],"rows":[["Internet","Google, Facebook, YouTube and X are blocked in mainland China. Offline medical records and a locally accessible communication channel reduce dependence on those services."],["Language","English-speaking clinical staff are not universal in China. Interpretation, bedside assistance and their cost form part of the travel and care arrangements."],["Meals and personal care","The meal plan, dietary needs and help with daily personal care are part of the hospital-stay arrangements."],["Records for home follow-up","Discharge documents may be issued in Chinese. A translated operation report, discharge summary and medicine list support continuity with the home cardiologist."]]},"links":[],"sources":["br-china-internet","br-china-medical"],"kind":null}],"price_min":25000,"price_max":40000,"benefit_sections":[{"id":"breastbone-benefit","title":"What keeping your breastbone intact changes","paragraphs":["The practical advantage is more than a smaller scar: the sternum is not divided. After a sternotomy, everyday movements such as pushing out of a chair, lifting a shopping bag or getting out of bed have to take the healing breastbone into account.","Guy’s and St Thomas’ describes about three months for full breastbone healing after sternotomy and gives different movement guidance for approaches between the ribs. Preserving the sternum removes that bone-healing step; the incision and the heart still recover gradually."],"items":[],"sources":["tp-cui100","br-sternum-gstt","C06"],"kind":null,"links":[],"table":{"headers":["Recovery detail","Sternotomy","Cui’s planned underarm MESM access"],"rows":[["Breastbone","Divided and secured after surgery; bone healing continues over the following months.","Left intact; no sternotomy bone wound to heal."],["Everyday upper-body movement","Movement and lifting guidance protects the healing sternum.","No divided sternum to protect; activity progresses with wound comfort and the clinical recovery plan."],["Incision and scar","An incision along the front of the chest.","A 4–5 cm incision beneath the right arm in the published MESM series."]]}}]},"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"cleveland-2024-myectomy","provider_id":"nicholas-smedira","family":"hcm","subject_scope":"programme","measurement":"annual","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":201,"relation":"exact","display":"201","unit":"Septal myectomy with or without other procedures for HOCM","period_label":"Calendar year 2024","reported_as_of":"2024-12-31","method":"Programme total across septal approaches, including operations with associated procedures.","period_start":"2024-01-01","period_end":"2024-12-31","year":2024,"source":{"url":"https://consultqd.clevelandclinic.org/outcome-snapshots-thoracic-surgery-lung-transplant-more","title":"Cleveland Clinic 2024 HOCM data highlights","publisher":"Institution / clinical programme","published":"2025-08-27"},"checked_at":"2026-10-08"},{"id":"nyu-programme-cumulative","provider_id":"daniel-swistel","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":600,"relation":"more_than","display":"600+","unit":"Septal myectomy","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"NYU programme total; distinct from any one surgeon’s career experience.","source":{"url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program","title":"NYU HCM programme","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"cui-cumulative-hcm","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":1000,"relation":"at_least","display":"1,000+","unit":"HCM myectomies","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"HCM myectomy programme using an underarm route that preserves the breastbone.","source":{"url":"https://mesmsurgery.com/","title":"MESM programme / Yong Cui","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"cui-cumulative-mics","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"cumulative","procedure":"all_cardiac_mics","inclusion_scope":"isolated-and-combined","value":5000,"relation":"at_least","display":"5,000+","unit":"Minimally invasive cardiac operations across conditions","period_label":"Cumulative; counting cutoff not stated","reported_as_of":null,"method":"Minimally invasive heart operations across conditions since 2018; this is broader than HCM.","period_start":"2018","source":{"url":"https://dryongcuiheartsurgery.com/","title":"Yong Cui practice overview","publisher":"Institution / clinical programme","published":null},"checked_at":"2026-10-08"},{"id":"hcm-yong-cui-programme-annual-2024-over250","provider_id":"yong-cui","family":"hcm","subject_scope":"programme","measurement":"annual","procedure":"septal_myectomy","value":250,"relation":"more_than","display":"250+","period_label":"Calendar year 2024","reported_as_of":"2024-12-31","year":2024,"period_start":"2024-01-01","period_end":"2024-12-31","method":"Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included.","programme_id":"zhejiang","excluded_from_surgeon_operator_ranking":true,"source":{"title":"心有“勇”术｜崔勇：寻道创新，微步致远","publisher":"严道医声网","published":"2025-01-31","url":"https://www.drvoice.cn/article/16542"},"checked_at":"2026-10-08","inclusion_scope":"isolated-and-combined","research_executor":"installed local Hermes AIAgent"}],"views":[{"id":"hcm-programme-annual-septal-myectomy-isolated-and-combined-2024","family":"hcm","scope":"programme","measurement":"annual","procedure":"septal_myectomy","year":2024,"title":"Programme operations · 2024 · septal myectomies","ranked":true,"count":2,"rows":[{"provider_id":"yong-cui","fact_id":"hcm-yong-cui-programme-annual-2024-over250","position":1,"position_min":1,"position_max":1,"value":250,"display":"250+","period":"Calendar year 2024","scope":"programme","procedure":"septal_myectomy","method":"Right infra-axillary modified-Morrow myectomies. This technique-specific count is a minimum for the programme’s total myectomy activity; other approaches are not included.","source_url":"https://www.drvoice.cn/article/16542"},{"provider_id":"nicholas-smedira","fact_id":"cleveland-2024-myectomy","position":2,"position_min":2,"position_max":2,"value":201,"display":"201","period":"Calendar year 2024","scope":"programme","procedure":"septal_myectomy","method":"Programme total across septal approaches, including operations with associated procedures.","source_url":"https://consultqd.clevelandclinic.org/outcome-snapshots-thoracic-surgery-lung-transplant-more"}]},{"id":"hcm-programme-cumulative-septal-myectomy-isolated-and-combined","family":"hcm","scope":"programme","measurement":"cumulative","procedure":"septal_myectomy","year":null,"title":"Programme operations · Cumulative reported experience · septal myectomies","ranked":true,"count":2,"rows":[{"provider_id":"yong-cui","fact_id":"cui-cumulative-hcm","position":null,"position_min":1,"position_max":2,"value":1000,"display":"1,000+","period":"Cumulative; counting cutoff not stated","scope":"programme","procedure":"septal_myectomy","method":"HCM myectomy programme using an underarm route that preserves the breastbone.","source_url":"https://mesmsurgery.com/"},{"provider_id":"daniel-swistel","fact_id":"nyu-programme-cumulative","position":null,"position_min":1,"position_max":2,"value":600,"display":"600+","period":"Cumulative; counting cutoff not stated","scope":"programme","procedure":"septal_myectomy","method":"NYU programme total; distinct from any one surgeon’s career experience.","source_url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"}]}],"providers":[{"id":"yong-cui","name":"Yong Cui","clinic_id":"zhejiang","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-yong-cui.json"},{"id":"nicholas-smedira","name":"Nicholas Smedira","clinic_id":"cleveland","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-nicholas-smedira.json"},{"id":"daniel-swistel","name":"Daniel G. Swistel","clinic_id":"nyu-langone","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-daniel-swistel.json"}],"excluded":[{"fact_id":"cui-cumulative-mics","reason":"broader or different procedure"}],"default_views":{"hcm":"hcm-programme-annual-septal-myectomy-isolated-and-combined-2024"},"coverage":[{"provider_id":"yong-cui","family":"hcm","gaps":["No independently allocated surgeon-only cumulative count.","No current daily operating tally.","Undated practice sites differ in labelling 1,000+ as HCM myectomies versus MESM."],"source_ids":["rank-cui148","rank-cui100","cui-2024-volume"],"unresolved_source_ids":["cui-mesm","cui-practice"]},{"provider_id":"nicholas-smedira","family":"hcm","gaps":["Official personal claim uses participated; no sole-operator current cumulative tally.","2024 annual count belongs to 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