Epicardial ultrasound in a case of myocardial bridge and apical hypertrophic cardiomyopathy.
Angina, Unstable
/ etiology
Cardiac Surgical Procedures
/ methods
Cardiomyopathy, Hypertrophic
/ complications
Coronary Vessels
/ diagnostic imaging
Humans
Male
Middle Aged
Monitoring, Intraoperative
/ methods
Myocardial Bridging
/ complications
Surgery, Computer-Assisted
/ methods
Ultrasonography, Interventional
/ methods
cardiovascular pathology
cardiovascular research
perfusion
Journal
Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
pubmed:
20
6
2020
medline:
31
10
2020
entrez:
20
6
2020
Statut:
ppublish
Résumé
A 59-year-old male with a history of unstable angina was diagnosed with a myocardial bridge of the left anterior descending artery (LAD) and apical variant hypertrophic cardiomyopathy (AHCM). He underwent unroofing of the myocardial bridge and a left ventricular apical myectomy. Intraoperatively, epicardial ultrasound was used to identify the myocardial bridge with systolic compression of the LAD and confirm resolution of this compression postoperatively. Furthermore, epicardial ultrasound was used for guiding the degree of apical resection of the decompressed heart. This novel use of intraoperative epicardial ultrasound can help guide surgeons preoperatively and confirm results immediately after an operation.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
2041-2043Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
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