SURGICAL APPROACH IN MYOCARDIAL BRIDGING : Supracoronary Myotomy

Ergun DEMİRSOY, Harun ARBATLI, Mehmet ÜNAL, Selim TANSAL, Naci YAĞAN, Kubilay KORKUT, Mehmet ÖZKÖKELİ, Deniz ŞENER, Bingür SÖNMEZ

Kadir Has Üniversitesi, Tıp Fakültesi,Florence Nightingale Hastanesi, Kalp Damar Cerrahisi Anabilim Dalı, İSTANBUL

Purpose:

Myocardial bridging is usually a benign anomaly which rarely needs surgical intervention. In this study, patients operated for myocardial bridging were evaluated retrospectively.

Materials and Methods:

Between 1990 - 2000, seven male patients with mean age of 46.42 + 11.08 (28.00-60.00) were operated for myocardial bridging. Simple supracoronary myotomy was performed in three patients while additional coronary bypasses were done in the others.

Results:

There were no morbidity or mortality after operation and all patients had symptomatic relief and excellent functional capacity in 4 months to 9 years of follow up.

Conclusion:

Supracoronary myotomy should be the method of choice in patients with myocardial bridging which has 51-100 % compression on the artery and nonresponsive to the medical treatment.

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