Epicardial ultrasound in a case of myocardial bridge and apical hypertrophic cardiomyopathy
Author(s) -
Whalen L. Brett,
Davies Stephen W.,
Singh Karen,
Ailawadi Gorav
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14627
Subject(s) - medicine , hypertrophic cardiomyopathy , myocardial bridge , cardiology , ultrasound , bridge (graph theory) , angina , artery , septal myectomy , radiology , coronary angiography , obstructive cardiomyopathy , myocardial infarction
Abstract 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.