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Eur J Cardiothorac Surg 2007;32:166. doi:10.1016/j.ejcts.2007.04.009
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Images in cardio-thoracic surgery

Extended myocardial bridge causing chest pain

Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, Germany

Received 16 January 2007; received in revised form 2 April 2007; accepted 5 April 2007.

^_* Corresponding author. Address: Department of Thoracic and Cardiovascular Surgery, University Hospital Muenster, Albert-Schweitzer Strasse 33, D-48129 Muenster, Germany. Tel.: +49 251 83 47402; fax: +49 251 83 48163. (Email: dcamboni{at}arcor.de).

Key Words: Myocardial bridge • Angina pectoris • Myotomy

A 21-year-old man presented with radiating chest pain, not sensitive to nitroglycerin and elevated troponin T. An 8 cm long myocardial bridge compressing the left anterior descending artery (LAD) was diagnosed (Fig. 1a and b; ). A myotomy with a maximal depth of 1 cm along the course of the LAD was performed (Fig. 2 ). Repeat coronary angiography was normal (Fig. 1c; ).

View larger version (74K): [in this window] [in a new window]   Fig. 1. (a) Preoperative coronary angiography demonstrating compression of the left anterior descending artery (LAD) in systole. (b) Preoperative coronary angiography in diastole. (c) Postoperative coronary angiography in systole showing a normalized caliber of the LAD. LM, left main stem; CX, left circumflex artery; DB, diagonal branch.

View larger version (130K): [in this window] [in a new window]   Fig. 2. Intraoperative situs. Note the depth of the myocardial bridge with the intramural course of the LAD.

Supplementary data

Supplementary data associated with this article can be found, in the online version, at doi:10.1016/j.ejcts.2007.04.009.

This article has been cited by other articles:

				A. Crespo, J. I. Aramendi, G. Hamzeh, and R. Voces Off-pump supra-arterial myotomy for myocardial bridging Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 682 - 684. [Abstract] [Full Text] [PDF]

This Article Full Text (PDF) On-line Video Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hans H. Scheld Christof Schmid Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Camboni, D. Articles by Schmid, C. Search for Related Content PubMed PubMed Citation Articles by Camboni, D. Articles by Schmid, C. Related Collections Coronary disease