Myocardial bridging: surgical technique and operative results
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Published on: March 27, 2018
Y Katznelson1, P Petchenko, B Knobel
1Departments of Cardiovascular Surgery, Edith Wolfson Medical Center, Holon, Israel.
Insights
A 37-year-old male with myocardial ischemia due to a blocked left anterior descending coronary artery underwent surgery. The patient recovered fully, with no signs of ischemia or artery narrowing two years post-operation.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Myocardial bridging can cause myocardial ischemia, particularly in the left anterior descending coronary artery.
- Symptomatic myocardial ischemia necessitates effective treatment strategies.
Observation:
- A 37-year-old male presented with symptoms of anterior myocardial ischemia.
- Coronary angiography revealed systolic obstruction in the mid-left anterior descending coronary artery, indicative of myocardial bridging.
Findings:
- The patient received a supra-arterial myotomy for the myocardial bridge.
- Postoperative follow-up at two years showed complete resolution of myocardial ischemia.
- Repeat angiography confirmed the absence of systolic narrowing in the left anterior descending coronary artery.
Implications:
- Supra-arterial myotomy is an effective surgical treatment for symptomatic myocardial bridging.
- Successful surgical intervention can restore normal coronary artery flow and alleviate ischemic symptoms.
- This case highlights the long-term efficacy of surgical management for myocardial bridging-induced ischemia.
Abstract:
We report a case of a 37-year-old symptomatic male with anterior myocardial ischemia. Coronary angiography demonstrated systolic obstruction of the midportion of the left anterior descending coronary artery due to myocardial bridging. The patient was treated with a supra-arterial myotomy. Two years postoperatively, the patient is without evidence of myocardial ischemia. Angiography, 2 years postoperatively, shows no evidence of systolic narrowing of the left anterior descending coronary artery.
