Outcome of Repair of Myocardial Bridging at the Time of Septal Myectomy

Excision of anomalous muscle bundles as an important addition to extended septal myectomy for treatment of left ventricular outflow tract obstruction

“…At the latest follow-up (14 months [IQR, [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]), most of the patients were in acceptable physical state. Two male patients aged 15 and 14 years died of suspected sudden cardiac arrest 15 and 16 months after the operation, respectively.…”

“…21,22 Coronary myocardial bridge was detected in approximately 15% of the patients in the present cohort, and the proportion was lower than that reported from a study in Canada. 23 Because unroofing has been proven safe with satisfactory pleasurable short-term outcomes, 24 we are shifting to unroofing therapy for appropriate patients.…”

Surgical Unroofing of Hemodynamically Significant Left Anterior Descending Myocardial Bridges

“…It is also the most stringently evaluated and rigorously defined cohort of myocardial bridge patients available. Published series regarding the surgical or interventional treatment of MBs are limited by inconsistent and subjective evaluation of the pathology creating the possibility of a heterogeneous study population [16][17][18][19]. Furthermore, no previous study utilized a reliable and valid symptom assessment tool, such as the SAQ, to measure differences between the preoperative and postoperative period.…”

Myocardial Bridge as a Structure of “Double-Edged Sword” for the Coronary Artery

“…[24][25][26] The reported frequency MB in the LAD ranges from 22.2% to 60% in Western countries, 3,21,27) myocardial unroofi ng improved the prognosis of patients with hypertrophic myocardiopathy having MB determined by multi-detector computed tomography (MDCT) compared with myotomy alone (100% vs. 67%). 4) This difference paradoxically indicates that the burden imposed by MB evidently causes problems for the coronary circulation. In addition, over 200 symptomatic patients with coronary artery diseases having MB have been so far described.…”