Surgical repair of Wolff-Parkinson-White syndrome complicated with myocardial bridging.
Myocardial bridging causes myocardial ischemia during supraventricular tachycardia. We present a case of Wolff-Parkinson-White syndrome combined with myocardial bridging. The patient complained of angina pectoris during paroxysmal supraventricular tachycardia because of severe constriction of the left anterior descending coronary artery during systole. A myocardial scintigram revealed myocardial ischemia in the anteroseptal wall during paroxysmal supraventricular tachycardia. Myotomy to prevent myocardial bridging and interruption of the accessory conduction pathway was successfully accomplished in a one-stage operation.
Sueda
T
T
First Department of Surgery, Hiroshima University School of Medicine, Japan.
Matsuura
Y
Y
Ishihara
H
H
Hamanaka
Y
Y
Shikata
H
H
Nakagawa
H
H
Okamoto
M
M
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology; D009202:Cardiomyopathies / Q000150:complications* / Q000601:surgery*; D003331:Coronary Vessels / Q000503:physiopathology*; D006801:Humans; D008297:Male; D013617:Tachycardia, Supraventricular / Q000209:etiology; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000601:surgery*