Surgical unroofing of hemodynamically significant myocardial bridges in a pediatric population

Katsuhide Maeda1, Ingela Schnittger2, Daniel J Murphy2

  • 1Department of Cardiothoracic Surgery, Stanford University, Stanford, Calif.

Insights

Surgical unroofing of myocardial bridges (MBs) in pediatric patients is safe and effective. This procedure relieved refractory anginal symptoms in most patients, improving their quality of life.

Area of Science:

  • Cardiology
  • Pediatric Surgery

Background:

  • Myocardial bridges (MBs) are often incidental findings, but symptomatic cases in adults can benefit from surgical unroofing.
  • Limited data exists on the efficacy of unroofing for MBs in the pediatric population.

Purpose of the Study:

  • To evaluate the indications and outcomes of surgical unroofing for myocardial bridges in pediatric patients.
  • To assess the safety and effectiveness of unroofing in this demographic.

Main Methods:

  • Retrospective review of pediatric patients who underwent surgical relief for MBs between 2012 and 2016.
  • Evaluation of clinical characteristics, diagnostic data, intraoperative findings, and postoperative outcomes.

Main Results:

  • 14 pediatric patients underwent unroofing of left anterior descending artery MBs.
  • 13 symptomatic patients experienced symptom resolution post-surgery, with improved quality of life.
  • Unroofing was performed both with and without cardiopulmonary bypass (CPB) without complications.

Conclusions:

  • Surgical unroofing of MBs is a safe procedure in pediatric patients, applicable with or without CPB.
  • Unroofing effectively relieves refractory symptoms in symptomatic pediatric patients with MBs.
Abstract

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