Department of Cardiovascular Surgery, The First Affiliated Hospital, Jinan University, Guangzhou, 510630, China.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1495-1498. doi: 10.1007/s11748-020-01335-0. Epub 2020 Mar 20.
The myocardial bridge (MB) refers to the epicardial coronary artery being abnormally covered by the superficial myocardium and running within the cardiac muscle. Surgery should be considered as an optimal choice for severe symptomatic MBs or simultaneous surgery for other heart diseases with severe MBs. Median sternotomy is the most commonly used surgical method. In this case, the authors successfully treated a patient diagnosed with symptomatic MB combined with other cardiac malformations by one-stage minimally invasive surgery guided by three-dimensional reconstruction of cardiac computed tomography.
心肌桥是指心外膜冠状动脉异常被浅层心肌覆盖并在心肌内走行。对于严重有症状的心肌桥或同时伴有严重心肌桥的其他心脏疾病，手术应被视为最佳选择。正中胸骨切开术是最常用的手术方法。在本病例中，作者通过心脏 CT 三维重建引导的一期微创方法成功治疗了一位同时患有症状性心肌桥和其他心脏畸形的患者。
