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The Annals of Thoracic Surgery, Vol 51, 119-121, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Surgical repair of Wolff-Parkinson-White syndrome complicated with myocardial bridging

T Sueda, Y Matsuura, H Ishihara, Y Hamanaka, H Shikata, H Nakagawa and M Okamoto
First Department of Surgery, Hiroshima University School of Medicine, Japan.

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.


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Copyright © 1991 by The Society of Thoracic Surgeons.