Central Message
- •Surgical unroofing via standard median sternotomy or minimally invasive approaches stands as an effective treatment for symptomatic and hemodynamically significant myocardial bridges.
Myocardial bridges (MB) are a congenital variant in which an epicardial coronary artery—most
commonly the left anterior descending (LAD)—is contained within an intramyocardial
segment. The clinical significance of this lesion varies from no symptoms to debilitating
angina, ventricular arrhythmia, and even sudden cardiac arrest Traditionally difficult
to diagnose, symptomatic myocardial bridges remain an elusive entity with a lack of
clarity regarding medical treatment and surgical indications. Importantly, studies
have shown that with appropriate patient selection, MB unroofing is an effective treatment
for symptomatic lesions, in both the adult and pediatric populations. This article
describes the pre-operative evaluation and the surgical approach for myocardial bridges.
Keywords
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Article info
Publication history
Published online: August 19, 2022
Publication stage
In Press Journal Pre-ProofFootnotes
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Conflict of Interest: None
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