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Taijiro Sueda
Yuichiro Matsuura
Hiroshi Ishihara
Yoshiharu Hamanaka
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Ann Thorac Surg 1991;51:119-121
© 1991 The Society of Thoracic Surgeons

Articles

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

Taijiro Sueda, MD*, Yuichiro Matsuura, MD, Hiroshi Ishihara, MD, Yoshiharu Hamanaka, MD, Hiroo Shikata, MD, Hiroshi Nakagawa, MD, Mitsunori Okamoto, MD

First Department of Surgery and First Department of Internal Medicine, Hiroshima University School of Medicine, Hiroshima, Japan

Accepted for publication June 19, 1990.

* Address reprint requests to Dr Sueda, Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima 734, 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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