Immediate results of treatment of patients with myocardial bridges of the coronary arteries

• Main Authors: I. K. Ismail-zade, V. K. Grebennik, I. I. Ivanov, N. R. Abutalimova, D. G. Zavarzina, G I. Ishmukhametov, M. L. Gordeev
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2021-06-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: myocardial bridges; supracoronary myotomy; ischemic heart disease
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/1594

The objective was to evaluate the immediate results of treatment of patients with symptomatic form of myocardial bridges of the coronary arteries.Methods and materials. In the course of a retrospective study, the results of treatment of 70 patients who had underwent drug treatment and 52 patients who had underwent surgical treatment were analyzed. All the subjects had high functional angina pectoris.Results. Pharmacological therapy showed significant positive dynamics in 18 (25.7 %) patients. Analysis of the intraoperative and early postoperative periods in patients who underwent supracoronary myotomy allows us to conclude that surgical treatment of patients with myocardial bridges of the coronary arteries shows satisfactory results.Conclusion. Drug therapy may be effective in some patients with myocardial bridges of the coronary arteries. In case of ineffectiveness of pharmacological treatment, the possibility of performing surgery in the amount of supracoronary myotomy should be considered.