Epicardial ultrasound in a case of myocardial bridge and apical hypertrophic cardiomyopathy
Autor: | L. Brett Whalen, Gorav Ailawadi, Stephen W. Davies, Karen E. Singh |
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Rok vydání: | 2020 |
Předmět: |
Pulmonary and Respiratory Medicine
Myocardial bridge medicine.medical_specialty business.industry Unstable angina Cardiovascular research Ultrasound Hypertrophic cardiomyopathy 030204 cardiovascular system & hematology medicine.disease Resection 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Internal medicine Cardiology Medicine Surgery Cardiology and Cardiovascular Medicine business Perfusion Artery |
Zdroj: | Journal of Cardiac Surgery. 35:2041-2043 |
ISSN: | 1540-8191 0886-0440 |
DOI: | 10.1111/jocs.14627 |
Popis: | 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. |
Databáze: | OpenAIRE |
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