{"schema_version":"bookimed.page-context.v1","id":"programme-nyu-hcm","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","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":"NYU HCM surgery: mitral-preserving and robotic myectomy programmes","summary":"NYU combines HCM cardiology, imaging, myectomy and mitral-preserving surgery. Daniel Swistel directs the surgical HCM programme; Joshua Scheinerman and Eugene Grossi are associated with its reported robotic trans-mitral operation. The routes have different evidence and recovery considerations. An individual estimate replaces a standard package price.","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":"Muscle and valve anatomy together","text":"Swistel’s mitral-preserving work includes horizontal plication and residual leaflet excision (ReLex) for selected anatomy.","sources":["pc-nyu-programme"]},{"label":"Two access routes","text":"The standard patient pathway describes transaortic myectomy through sternotomy; a separate team report describes robotic access through the mitral valve.","sources":["pc-nyu-surgery","pc-nyu-robotic"]},{"label":"Recovery has defined stages","text":"NYU describes approximately 24 hours in ICU and 3–5 hospital days for most patients in its conventional pathway.","sources":["pc-nyu-surgery"]}],"benefits":[{"text":"Anatomy-specific correction can preserve the mitral valve when leaflet or supporting-structure abnormalities contribute to obstruction.","sources":["pc-nyu-programme","pc-nyu-surgery"]},{"text":"Selected patients have a robotic trans-mitral option that avoids sternotomy; the reported operation reconstructed the mitral leaflet after reaching the septum.","sources":["pc-nyu-robotic"]},{"text":"Rusk Rehabilitation supports gradual activity after surgery, while the HCM team provides broader rhythm and family care.","sources":["pc-nyu-surgery","pc-nyu-programme"]}],"limitations":[{"text":"The inspected robotic evidence is a first-case report, not a large outcomes series or a comparison proving faster recovery.","sources":["pc-nyu-robotic"]},{"text":"Mitral correction is anatomy-dependent; neither valve repair nor robotic access is necessary or suitable for every patient.","sources":["pc-nyu-programme","pc-hcm-guideline"]},{"text":"The historical 77-patient resect-plicate-release paper comes from Swistel-associated work at other institutions, not a contemporary NYU cohort.","sources":["pc-rpr77"]}],"sections":[{"id":"clinical-fit","title":"Who this programme may suit","text":"Who this programme may suit Obstructive HCM with persistent symptoms despite appropriate treatment, including selected patients with elongated mitral leaflets, systolic anterior motion or abnormal papillary anatomy. The contribution of each structure determines whether myectomy alone or an additional repair is appropriate. ECG and echocardiography assess the heart’s rhythm and structure. Exercise stress echocardiography can reveal dynamic obstruction; MRI can map thickening and scar. The surgical plan separates septal muscle obstruction from leaflet and papillary abnormalities. Medical treatment, conventional surgery and selected robotic access have distinct roles. Sources: NYU HCM diagnostic pathway · NYU HCM programme · 2024 AHA/ACC multisociety HCM guideline key points","links":[{"label":"NYU HCM diagnostic pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/diagnosis"},{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"2024 AHA/ACC multisociety HCM guideline key points","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"}]},{"id":"benefit-balance","title":"Benefits and trade-offs","text":"Benefits and trade-offs Potential advantages Anatomy-specific correction can preserve the mitral valve when leaflet or supporting-structure abnormalities contribute to obstruction. Sources: NYU HCM programme · NYU myectomy, mitral repair and inpatient pathway Selected patients have a robotic trans-mitral option that avoids sternotomy; the reported operation reconstructed the mitral leaflet after reaching the septum. Sources: NYU first robotic myectomy clinical case Rusk Rehabilitation supports gradual activity after surgery, while the HCM team provides broader rhythm and family care. Sources: NYU myectomy, mitral repair and inpatient pathway · NYU HCM programme Trade-offs and limits The inspected robotic evidence is a first-case report, not a large outcomes series or a comparison proving faster recovery. Sources: NYU first robotic myectomy clinical case Mitral correction is anatomy-dependent; neither valve repair nor robotic access is necessary or suitable for every patient. Sources: NYU HCM programme · 2024 AHA/ACC multisociety HCM guideline key points The historical 77-patient resect-plicate-release paper comes from Swistel-associated work at other institutions, not a contemporary NYU cohort. Sources: Echocardiography before and after resect-plicate-release surgical myectomy for obstructive hypertrophic cardiomyopathy.","links":[{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"NYU myectomy, mitral repair and inpatient pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/septal-myectomy-surgery-for-hypertrophic-cardiomyopathy"},{"label":"NYU first robotic myectomy clinical case","url":"https://physicianfocus.nyulangone.org/nyu-langones-first-robotic-septal-myectomy-for-obstructive-hcm/"},{"label":"NYU myectomy, mitral repair and inpatient pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/septal-myectomy-surgery-for-hypertrophic-cardiomyopathy"},{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"NYU first robotic myectomy clinical case","url":"https://physicianfocus.nyulangone.org/nyu-langones-first-robotic-septal-myectomy-for-obstructive-hcm/"},{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"2024 AHA/ACC multisociety HCM guideline key points","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2024/05/06/15/12/2024-hypertrophic-cardiomyopathy-gl"},{"label":"Echocardiography before and after resect-plicate-release surgical myectomy for obstructive hypertrophic cardiomyopathy.","url":"https://pubmed.ncbi.nlm.nih.gov/26272699/"}]},{"id":"programme-price","title":"Price and included care","text":"Price and included care Quote on request NYU publishes no standard package total in the inspected programme sources. An estimate is individualized to the surgical route, associated valve work and care needs; travel-service allowances are not published. HCM cardiology, advanced imaging, surgery, rhythm care and genetic/family services are described by the programme. Conventional postoperative care includes ICU monitoring and Rusk Rehabilitation support. Care / cost item Published care and cost scope HCM assessment Cardiology and diagnostic imaging establish the anatomy and treatment plan. No fixed-price diagnostic bundle is published. Operation Conventional myectomy, selected mitral/papillary correction or selected robotic trans-mitral surgery; these are different operative scopes. Hospital recovery Conventional guidance describes about 24 hours in ICU and 3–5 inpatient days for most patients. These are clinical estimates, not paid-night allowances. Rehabilitation and continuing care Rusk Rehabilitation, rhythm care and family/genetic services are described; individual service charges are not published. Travel and language services Hotel, transfer, interpreter and companion inclusions are not specified in the clinical programme sources.","links":[],"tables":[[["Care / cost item","Published care and cost scope"],["HCM assessment","Cardiology and diagnostic imaging establish the anatomy and treatment plan. No fixed-price diagnostic bundle is published."],["Operation","Conventional myectomy, selected mitral/papillary correction or selected robotic trans-mitral surgery; these are different operative scopes."],["Hospital recovery","Conventional guidance describes about 24 hours in ICU and 3–5 inpatient days for most patients. These are clinical estimates, not paid-night allowances."],["Rehabilitation and continuing care","Rusk Rehabilitation, rhythm care and family/genetic services are described; individual service charges are not published."],["Travel and language services","Hotel, transfer, interpreter and companion inclusions are not specified in the clinical programme sources."]]]},{"id":"care-journey","title":"Your route from assessment to follow-up","text":"Your route from assessment to follow-up HCM diagnosis and imaging Clinical history, ECG and echo establish the diagnosis and obstruction; selected stress echo, MRI and other studies add detail. Sources: NYU HCM diagnostic pathway Anatomy-specific operation The team determines whether the septum, mitral leaflet or papillary structures need correction and which access route fits. Sources: NYU HCM programme · NYU myectomy, mitral repair and inpatient pathway Hospital and rehabilitation The conventional pathway includes ICU monitoring and gradual mobilization with Rusk Rehabilitation. Sources: NYU myectomy, mitral repair and inpatient pathway Longer-term HCM care Rhythm-risk assessment, follow-up imaging and family/genetic care continue according to clinical needs. Sources: NYU HCM programme · 2024 AHA/ACC multisociety HCM guideline key points","links":[{"label":"NYU HCM diagnostic pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/diagnosis"},{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"NYU myectomy, mitral repair and inpatient pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/septal-myectomy-surgery-for-hypertrophic-cardiomyopathy"},{"label":"NYU myectomy, mitral repair and inpatient pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/septal-myectomy-surgery-for-hypertrophic-cardiomyopathy"},{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"2024 AHA/ACC multisociety HCM guideline key points","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 Programme experience NYU states that its surgeons have performed more than 600 septal myectomies and describes Swistel’s mitral-preserving techniques. Programme-reported cumulative figure without a stated time window. It is neither Swistel’s personal annual total nor the number of robotic cases. Sources: NYU HCM programme Historical resect-plicate-release evidence All 77 patients in the historical study underwent myectomy; 50 had anterior leaflet plication and 50 had papillary release. Mean echocardiographic follow-up was 9.5 months. Swistel-associated team work at Mount Sinai/St Luke’s–Roosevelt, not a contemporary NYU cohort. Different procedures and follow-up from Cui’s MESM study. Sources: Echocardiography before and after resect-plicate-release surgical myectomy for obstructive hypertrophic cardiomyopathy. First robotic trans-mitral case The Scheinerman/Grossi team report describes relief of obstruction after a robotic operation through the mitral valve, followed by leaflet reconstruction and discharge on postoperative day four. One reported patient; no large robotic cohort, comparative trial or long-term durability estimate is supplied. Sources: NYU first robotic myectomy clinical case","links":[{"label":"NYU HCM programme","url":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program"},{"label":"Echocardiography before and after resect-plicate-release surgical myectomy for obstructive hypertrophic cardiomyopathy.","url":"https://pubmed.ncbi.nlm.nih.gov/26272699/"},{"label":"NYU first robotic myectomy clinical case","url":"https://physicianfocus.nyulangone.org/nyu-langones-first-robotic-septal-myectomy-for-obstructive-hcm/"}]},{"id":"recovery","title":"Recovery: walking, healing and returning home","text":"Recovery: walking, healing and returning home NYU’s conventional myectomy guidance describes about 24 hours in ICU, careful walking the next day and 3–5 inpatient days for most patients. Rusk Rehabilitation supports gradual activity. The single reported robotic patient went home on postoperative day four; one case is not a typical recovery estimate. Return to work and travel depend on subsequent recovery. Sources: NYU myectomy, mitral repair and inpatient pathway · NYU first robotic myectomy clinical case Recovery ↗ HCM & myectomy ↗","links":[{"label":"NYU myectomy, mitral repair and inpatient pathway","url":"https://nyulangone.org/conditions/hypertrophic-cardiomyopathy/treatments/septal-myectomy-surgery-for-hypertrophic-cardiomyopathy"},{"label":"NYU first robotic myectomy clinical case","url":"https://physicianfocus.nyulangone.org/nyu-langones-first-robotic-septal-myectomy-for-obstructive-hcm/"},{"label":"Recovery ↗","url":"https://hub.bookimed.com/heart-surgery/recovery/"},{"label":"HCM & myectomy ↗","url":"https://hub.bookimed.com/heart-surgery/hcm-myectomy/"}]},{"id":"alternatives","title":"Compare other programmes for this condition","text":"Compare other programmes for this condition Hangzhou, China Yong Cui · HCM surgery ↗ 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. See method, care and package ↗ 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 ↗","links":[{"label":"Yong Cui · HCM surgery ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/"},{"label":"See method, care and package ↗","url":"https://hub.bookimed.com/heart-surgery/programme-cui-hcm/"},{"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/"}]}],"introduction":"Heart surgery guide / NYU HCM team · anatomy and access choices NYU HCM team · anatomy and access choices · Decision guide NYU HCM surgery: mitral-preserving and robotic myectomy programmes An HCM team that treats septal and mitral causes of obstruction, with conventional and selected robotic surgical approaches. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance NYU combines HCM cardiology, imaging, myectomy and mitral-preserving surgery. Daniel Swistel directs the surgical HCM programme; Joshua Scheinerman and Eugene Grossi are associated with its reported robotic trans-mitral operation. The routes have different evidence and recovery considerations. An individual estimate replaces a standard package price. Muscle and valve anatomy together Swistel’s mitral-preserving work includes horizontal plication and residual leaflet excision (ReLex) for selected anatomy. Sources: NYU HCM programme Two access routes The standard patient pathway describes transaortic myectomy through sternotomy; a separate team report describes robotic access through the mitral valve. Sources: NYU myectomy, mitral repair and inpatient pathway · NYU first robotic myectomy clinical case Recovery has defined stages NYU describes approximately 24 hours in ICU and 3–5 hospital days for most patients in its conventional pathway. Sources: NYU myectomy, mitral repair and inpatient pathway Reported surgical experience 700+ septal myectomies Personal operations · Cumulative; counting cutoff not stated Personal experience with septal myectomy; associated mitral leaflet and papillary-muscle anatomy may also be treated. NYU Langone: Daniel Swistel surgical experience ↗ · source read 2026-10-08 600+ septal myectomies Programme operations · Cumulative; counting cutoff not stated NYU programme total; distinct from any one surgeon’s career experience. NYU HCM programme ↗ · source read 2026-10-08 Compare septal myectomy experience → Tisch Hospital lobby, NYU Langone Health. · Photo source Daniel G. Swistel → Joshua A. Scheinerman → NYU Langone Hypertrophic Cardiomyopathy Program New York, United States Septal myectomy with selected mitral/papillary correction; robotic trans-mitral myectomy available for selected patients Quote on request Individual estimate after assessment. Daniel Swistel directs HCM surgery; Joshua Scheinerman and Eugene Grossi authored the reported robotic trans-mitral case.","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-daniel-swistel","title":"Daniel G. Swistel: HCM myectomy and mitral valve repair","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-daniel-swistel/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-daniel-swistel.json"},{"id":"clinic-nyu-langone","title":"NYU Langone: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-nyu-langone/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-nyu-langone.json"},{"id":"doctor-joshua-scheinerman","title":"Joshua A. Scheinerman: Robotic HCM myectomy","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-joshua-scheinerman/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-joshua-scheinerman.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-cui-hcm","title":"HCM surgery with Yong Cui: breastbone-sparing, $25,000–40,000","kind":"treatment-programme","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"},{"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"}],"entity":{"condition":"Obstructive hypertrophic cardiomyopathy","condition_id":"hcm-obstructive","price":null,"currency":null,"price_label":"Quote on request","commercial_status":"Clinical programme researched; itemized patient quote not obtained","id":"nyu-hcm","doctor_id":"daniel-swistel","doctor":"Daniel G. Swistel","clinic_id":"nyu-langone","clinic":"NYU Langone Hypertrophic Cardiomyopathy Program","location":"New York, United States","title":"NYU HCM surgery: mitral-preserving and robotic myectomy programmes","card_benefit":"An HCM team that treats septal and mitral causes of obstruction, with conventional and selected robotic surgical approaches.","method":"Septal myectomy with selected mitral/papillary correction; robotic trans-mitral myectomy available for selected patients","evidence":"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.","recovery":"NYU’s conventional myectomy guidance describes about 24 hours in ICU, careful walking the next day and 3–5 inpatient days for most patients. Rusk Rehabilitation supports gradual activity. The single reported robotic patient went home on postoperative day four; one case is not a typical recovery estimate. Return to work and travel depend on subsequent recovery.","care_summary":"HCM cardiology, advanced imaging, surgery, rhythm care and genetic/family services are described by the programme. Conventional postoperative care includes ICU monitoring and Rusk Rehabilitation support.","cta":"Request an NYU HCM assessment and quote","official_entrypoint":"https://nyulangone.org/care-services/hypertrophic-cardiomyopathy-program","focus":["mitral","diagnostics","incision","rehabilitation"],"doctor_ids":["daniel-swistel","joshua-scheinerman"],"evidence_source":"pc-rpr77","clinical_fit":"Obstructive HCM with persistent symptoms despite appropriate treatment, including selected patients with elongated mitral leaflets, systolic anterior motion or abnormal papillary anatomy. The contribution of each structure determines whether myectomy alone or an additional repair is appropriate.","photo":{"source_page":"https://nyulangone.org/locations/tisch-hospital","width":960,"height":540,"alt":"Lobby of Tisch Hospital at NYU Langone Health","caption":"Tisch Hospital lobby, NYU Langone Health.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/nyu-langone.jpg"},"portrait":{"url":"https://hub.bookimed.com/wp-content/uploads/2026/10/daniel-swistel-300x300.jpg","source_page":"https://nyulangone.org/doctors/1083603690/daniel-g-swistel","width":1000,"height":1000,"alt":"Daniel G. Swistel — official portrait"},"doctor_profile":"/heart-surgery/doctor-daniel-swistel/","clinic_profile":"/heart-surgery/clinic-nyu-langone/","preference":"NYU HCM team — Daniel Swistel and Joshua Scheinerman — HCM programme","topic":"HCM / septal myectomy","slug":"programme-nyu-hcm","topic_key":"hcm","listing_slug":"hcm-treatment-programmes","label":"NYU HCM team · anatomy and access choices","link":"/heart-surgery/programme-nyu-hcm/","clinical_sources":["pc-nyu-diagnostics","pc-nyu-programme","pc-hcm-guideline"],"benefit_sources":["pc-nyu-programme","pc-nyu-robotic","pc-nyu-surgery"],"price_kind":"quote","price_note_short":"Individual estimate after assessment.","price_note":"NYU publishes no standard package total in the inspected programme sources. An estimate is individualized to the surgical route, associated valve work and care needs; travel-service allowances are not published.","assessment":["ECG and echocardiography assess the heart’s rhythm and structure. Exercise stress echocardiography can reveal dynamic obstruction; MRI can map thickening and scar.","The surgical plan separates septal muscle obstruction from leaflet and papillary abnormalities. Medical treatment, conventional surgery and selected robotic access have distinct roles."],"package_rows":[["HCM assessment","Cardiology and diagnostic imaging establish the anatomy and treatment plan. No fixed-price diagnostic bundle is published."],["Operation","Conventional myectomy, selected mitral/papillary correction or selected robotic trans-mitral surgery; these are different operative scopes."],["Hospital recovery","Conventional guidance describes about 24 hours in ICU and 3–5 inpatient days for most patients. These are clinical estimates, not paid-night allowances."],["Rehabilitation and continuing care","Rusk Rehabilitation, rhythm care and family/genetic services are described; individual service charges are not published."],["Travel and language services","Hotel, transfer, interpreter and companion inclusions are not specified in the clinical programme sources."]],"journey":[{"title":"HCM diagnosis and imaging","text":"Clinical history, ECG and echo establish the diagnosis and obstruction; selected stress echo, MRI and other studies add detail.","sources":["pc-nyu-diagnostics"]},{"title":"Anatomy-specific operation","text":"The team determines whether the septum, mitral leaflet or papillary structures need correction and which access route fits.","sources":["pc-nyu-programme","pc-nyu-surgery"]},{"title":"Hospital and rehabilitation","text":"The conventional pathway includes ICU monitoring and gradual mobilization with Rusk Rehabilitation.","sources":["pc-nyu-surgery"]},{"title":"Longer-term HCM care","text":"Rhythm-risk assessment, follow-up imaging and family/genetic care continue according to clinical needs.","sources":["pc-nyu-programme","pc-hcm-guideline"]}],"reviews":[],"review_intro":"Patient accounts describe the experience of care. General hospital feedback does not establish the results of a specific HCM operation or surgical route.","recovery_sources":["pc-nyu-surgery","pc-nyu-robotic"],"faq":[],"seo_title":"NYU HCM surgery: mitral-preserving and robotic myectomy programmes | Bookimed","summary":"NYU combines HCM cardiology, imaging, myectomy and mitral-preserving surgery. Daniel Swistel directs the surgical HCM programme; Joshua Scheinerman and Eugene Grossi are associated with its reported robotic trans-mitral operation. The routes have different evidence and recovery considerations. An individual estimate replaces a standard package price.","benefits":["Anatomy-specific correction can preserve the mitral valve when leaflet or supporting-structure abnormalities contribute to obstruction.","Selected patients have a robotic trans-mitral option that avoids sternotomy; the reported operation reconstructed the mitral leaflet after reaching the septum.","Rusk Rehabilitation supports gradual activity after surgery, while the HCM team provides broader rhythm and family care."],"operator_assignment":"Daniel Swistel directs HCM surgery; Joshua Scheinerman and Eugene Grossi authored the reported robotic trans-mitral case.","evidence_blocks":[{"title":"Programme experience","text":"NYU states that its surgeons have performed more than 600 septal myectomies and describes Swistel’s mitral-preserving techniques.","limit":"Programme-reported cumulative figure without a stated time window. It is neither Swistel’s personal annual total nor the number of robotic cases.","sources":["pc-nyu-programme"]},{"title":"Historical resect-plicate-release evidence","text":"All 77 patients in the historical study underwent myectomy; 50 had anterior leaflet plication and 50 had papillary release. Mean echocardiographic follow-up was 9.5 months.","limit":"Swistel-associated team work at Mount Sinai/St Luke’s–Roosevelt, not a contemporary NYU cohort. Different procedures and follow-up from Cui’s MESM study.","sources":["pc-rpr77"]},{"title":"First robotic trans-mitral case","text":"The Scheinerman/Grossi team report describes relief of obstruction after a robotic operation through the mitral valve, followed by leaflet reconstruction and discharge on postoperative day four.","limit":"One reported patient; no large robotic cohort, comparative trial or long-term durability estimate is supplied.","sources":["pc-nyu-robotic"]}],"team_label":"Daniel Swistel · Joshua Scheinerman","key_takeaways":[{"label":"Muscle and valve anatomy together","text":"Swistel’s mitral-preserving work includes horizontal plication and residual leaflet excision (ReLex) for selected anatomy.","sources":["pc-nyu-programme"]},{"label":"Two access routes","text":"The standard patient pathway describes transaortic myectomy through sternotomy; a separate team report describes robotic access through the mitral valve.","sources":["pc-nyu-surgery","pc-nyu-robotic"]},{"label":"Recovery has defined stages","text":"NYU describes approximately 24 hours in ICU and 3–5 hospital days for most patients in its conventional pathway.","sources":["pc-nyu-surgery"]}],"patient_benefits":[{"text":"Anatomy-specific correction can preserve the mitral valve when leaflet or supporting-structure abnormalities contribute to obstruction.","sources":["pc-nyu-programme","pc-nyu-surgery"]},{"text":"Selected patients have a robotic trans-mitral option that avoids sternotomy; the reported operation reconstructed the mitral leaflet after reaching the septum.","sources":["pc-nyu-robotic"]},{"text":"Rusk Rehabilitation supports gradual activity after surgery, while the HCM team provides broader rhythm and family care.","sources":["pc-nyu-surgery","pc-nyu-programme"]}],"patient_limitations":[{"text":"The inspected robotic evidence is a first-case report, not a large outcomes series or a comparison proving faster recovery.","sources":["pc-nyu-robotic"]},{"text":"Mitral correction is anatomy-dependent; neither valve repair nor robotic access is necessary or suitable for every patient.","sources":["pc-nyu-programme","pc-hcm-guideline"]},{"text":"The historical 77-patient resect-plicate-release paper comes from Swistel-associated work at other institutions, not a contemporary NYU cohort.","sources":["pc-rpr77"]}]},"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"swistel-career","provider_id":"daniel-swistel","family":"hcm","subject_scope":"surgeon_operator","measurement":"cumulative","procedure":"septal_myectomy","inclusion_scope":"isolated-and-combined","value":700,"relation":"more_than","display":"700+","unit":"Septal myectomies","period_label":"Cumulative; 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