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Ann Thorac Surg 1999;68:244-246
© 1999 The Society of Thoracic Surgeons

Case Reports

Supraarterial decompression myotomy for myocardial bridging in a child

Neal D. Hillman, MDa,b, Constantine Mavroudis, MDa,b, Carl L. Backer, MDa,b, C. Elise Duffy, MDa,b

a Division of Cardiovascular-Thoracic Surgery, Children’s Memorial Hospital, Chicago, Illinois, USA
b Departments of Cardiothoracic Surgery and Pediatrics, Northwestern University Medical School, Chicago, Illinois, USA

Address reprint requests to Dr Mavroudis, Division of Cardiovascular-Thoracic Surgery, M/C #22, Children’s Memorial Hospital, 2300 Children’s Plaza, Chicago, IL 60614
e-mail: c-mavroudis{at}nwu.edu

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.


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