Supraarterial decompression myotomy for myocardial bridging in a child.
A 10-year-old boy presented with a history of exertional chest pain. An electrocardiogram demonstrated an inferior apical myocardial infarction. Cardiac catheterization revealed myocardial bridging of the left anterior descending coronary artery with evidence of intramyocardial obstruction during systole. The patient underwent successful treatment with supraarterial decompression myotomy and remains symptom free at 1 year.
Children's Memorial Hospital and Department of Cardiothoracic Surgery, Northwestern University Medical School, Chicago, Illinois 60614, USA.
N D
ND
Hillman
C
C
Mavroudis
C L
CL
Backer
C E
CE
Duffy
D000787:Angina Pectoris / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000379:methods; D002648:Child; D003251:Constriction, Pathologic; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000601:surgery*; D003331:Coronary Vessels / Q000473:pathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D009206:Myocardium / Q000473:pathology*