Open AccessImmediate results of treatment of patients with myocardial bridges of the coronary arteries
Author(s) -
И. К. Исмаил-заде,
В. К. Гребенник,
И. Ю. Иванов,
Н. Р. Абуталимова,
Д. Г. Заварзина,
Г. И. Ишмухаметов,
М. Л. Гордеев
Publication year - 2021
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2021-180-1-17-24
Subject(s) - medicine , coronary arteries , myotomy , angina , great arteries , cardiology , myocardial bridge , surgery , retrospective cohort study , artery , heart disease , coronary angiography , myocardial infarction , achalasia , esophagus
The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries. Methods and materials . In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris. Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results. Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.