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

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.