One-stage minimally surgical treatment for myocardial bridge with other cardiac malformations

Shengjie Liao1, Xiaohui Li1, Xiaoshen Zhang1
1Department of Cardiovascular Surgery, The First Affiliated Hospital, Jinan University, Guangzhou, China

Tóm tắt

The myocardial bridge (MB) refers to the epicardial coronary artery being abnormally covered by the superficial myocardium and running within the cardiac muscle. Surgery should be considered as an optimal choice for severe symptomatic MBs or simultaneous surgery for other heart diseases with severe MBs. Median sternotomy is the most commonly used surgical method. In this case, the authors successfully treated a patient diagnosed with symptomatic MB combined with other cardiac malformations by one-stage minimally invasive surgery guided by three-dimensional reconstruction of cardiac computed tomography.

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Tài liệu tham khảo

Cerrato E, Barbero U, D’Ascenzo F, Taha S, Biondi-Zoccai G, Omedè P, et al. What is the optimal treatment for symptomatic patients with isolated coronary myocardial bridge? A systematic review and pooled analysis. J Cardiovasc Med. 2017;18(10):758–70.

Teragawa H, Oshita C, Ueda T. The myocardial bridge: potential influences on the coronary artery vasculature. Clin Med Insights Cardiol. 2019;13:1179546819846493.

Boyd JH, Pargaonkar VS, Scoville DH, Rogers IS, Kimura T, Tanaka S, et al. Surgical unroofing of hemodynamically significant left anterior descending myocardial bridges. Ann Thorac Surg. 2017;103(5):1443–500.

Tarantini G, Migliore F, Cademartiri F, Fraccaro C, Iliceto S. Left anterior descending artery myocardial bridging: a clinical approach. J Am Coll Cardiol. 2016;68(25):2887–999.

Uusitalo V, Saraste A, Knuuti J. Multimodality imaging in the assessment of the physiological significance of myocardial bridging. Curr Cardiol Rep. 2015;18(1):2.