Eur J Cardiothorac Surg 2004;25:643
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Myocardial infarction and ventricular septal rupture caused by myocardial bridging
Michael Argyrioub,
Gerasimos S. Filippatosa*,
John Antonellisc,
Athanasios Kranidisa
a Department of Cardiology, Evangelismos Hospital, 28 Doukissis Plakentias str, 11523 Athens, Greece
b Department of Cardiothoracic Surgery and Transplantation, Evangelismos Hospital, Athens, Greece
c Hemodynamic Laboratory, Evangelismos Hospital, Athens, Greece
Received 22 July 2003;
received in revised form 15 December 2003;
accepted 9 January 2004.
* Corresponding author. Tel.: +30-10-8048427; fax: +30-10-8104367
e-mail: geros{at}compulink.gr
Key Words: Myocardial bridge • Ventricular septal rupture • Myocardial infarction
A 76-year-old man was thrombolysed because of an anterior myocardial infarction. The echocardiogram showed a rupture located in the apical part of the ventricular septum (Fig. 1A)
. Cardiac catheterization showed normal coronary arteries with a myocardial bridge in the anterior descending of the left coronary artery (Fig. 1B and C). In the operation a prosthetic patch was used for the 2x2 cm2 rupture, using the infarction exclusion technique. An incision was made in the myocardial bridge. The patient was discharged 7 days after the operation in good condition.
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Fig. 1. (A) Modified four chambers view. An apical ventricular septal rupture is shown. The myocardial bridge in the left anterior descending artery is shown during systole (B, arrow), and during diastole (C, arrow).
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