Myocardial bridging over the left anterior descending: Myotomy, bypass, or both? Chigozirim N. Ekeke, BS, Stephen Noble, MD, Ernest Mazzaferri, MD, Juan.

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Presentation transcript:

Myocardial bridging over the left anterior descending: Myotomy, bypass, or both? Chigozirim N. Ekeke, BS, Stephen Noble, MD, Ernest Mazzaferri, MD, Juan A. Crestanello, MD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 4, Pages e57-e58 (April 2015) DOI: 10.1016/j.jtcvs.2014.12.054 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Case 1. A, Angiography demonstrates compression of the LAD coronary artery during systole (arrows). B, Operative picture demonstrating myotomy over the LAD. The Journal of Thoracic and Cardiovascular Surgery 2015 149, e57-e58DOI: (10.1016/j.jtcvs.2014.12.054) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Case 2. A, Coronary angiogram showing long segment bridging of the LAD (arrows). Because this persisted during systole, treatment comprised myotomy (B, arrows) and bypass to the LAD with the left internal thoracic artery (B). LITA, Left internal thoracic artery. The Journal of Thoracic and Cardiovascular Surgery 2015 149, e57-e58DOI: (10.1016/j.jtcvs.2014.12.054) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions