Perry Choi , Hanjay Wang , Jennifer Tremmel , Ingela Schnittger , Kan Saito , Michael Ma , Teimour Nasirov , Jack Boyd
{"title":"心肌桥手术拆除","authors":"Perry Choi , Hanjay Wang , Jennifer Tremmel , Ingela Schnittger , Kan Saito , Michael Ma , Teimour Nasirov , Jack Boyd","doi":"10.1053/j.optechstcvs.2022.08.001","DOIUrl":null,"url":null,"abstract":"<div><p>Myocardial bridges (MB) are a congenital variant in which an epicardial coronary artery—most commonly the left anterior descending (LAD)—is contained within an intramyocardial segment. The clinical significance of this lesion varies from no symptoms to debilitating angina, ventricular arrhythmia, and even sudden cardiac arrest Traditionally difficult to diagnose, symptomatic myocardial bridges remain an elusive entity with a lack of clarity regarding medical treatment and surgical indications. Importantly, studies have shown that with appropriate patient selection, MB unroofing is an effective treatment for symptomatic lesions, in both the adult and pediatric populations. This article describes the pre-operative evaluation and the surgical approach for myocardial bridges.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Surgical Unroofing of Myocardial Bridges\",\"authors\":\"Perry Choi , Hanjay Wang , Jennifer Tremmel , Ingela Schnittger , Kan Saito , Michael Ma , Teimour Nasirov , Jack Boyd\",\"doi\":\"10.1053/j.optechstcvs.2022.08.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Myocardial bridges (MB) are a congenital variant in which an epicardial coronary artery—most commonly the left anterior descending (LAD)—is contained within an intramyocardial segment. The clinical significance of this lesion varies from no symptoms to debilitating angina, ventricular arrhythmia, and even sudden cardiac arrest Traditionally difficult to diagnose, symptomatic myocardial bridges remain an elusive entity with a lack of clarity regarding medical treatment and surgical indications. Importantly, studies have shown that with appropriate patient selection, MB unroofing is an effective treatment for symptomatic lesions, in both the adult and pediatric populations. This article describes the pre-operative evaluation and the surgical approach for myocardial bridges.</p></div>\",\"PeriodicalId\":35965,\"journal\":{\"name\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1522294222000757\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522294222000757","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Myocardial bridges (MB) are a congenital variant in which an epicardial coronary artery—most commonly the left anterior descending (LAD)—is contained within an intramyocardial segment. The clinical significance of this lesion varies from no symptoms to debilitating angina, ventricular arrhythmia, and even sudden cardiac arrest Traditionally difficult to diagnose, symptomatic myocardial bridges remain an elusive entity with a lack of clarity regarding medical treatment and surgical indications. Importantly, studies have shown that with appropriate patient selection, MB unroofing is an effective treatment for symptomatic lesions, in both the adult and pediatric populations. This article describes the pre-operative evaluation and the surgical approach for myocardial bridges.
期刊介绍:
Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.