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Ann Thorac Surg 2001;72:1369-1370
© 2001 The Society of Thoracic Surgeons

Case report

Ventricular septal rupture caused by myocardial bridging

René A. Tio, MDa, Tjark Ebels, MDb

a Department of Cardiology, Thoraxcenter, University Hospital Groningen, Groningen, The Netherlands
b Department of Cardiopulmonary Surgery, Thoraxcenter, University Hospital Groningen, Groningen, The Netherlands

Accepted for publication November 13, 2000.

Address reprint requests to Dr Tio, Department of Cardiology, Thoraxcenter, University Hospital Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands
e-mail: r.a.tio{at}thorax.azg.nl

A 70-year-old woman was referred to us with postinfarction angina. During cardiac catheterization the only coronary abnormality found was myocardial bridging in the mid and distal parts of the left anterior descending coronary artery, despite a large ventricular septal rupture. The pulmonary-to-systemic flow ratio was 2.5:1. Her operation was successful.




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