Clinical Analysis of Surgical Treatment of Myocardial Bridge_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

王圣 , 程兆云 , 赵子牛 , 权晓强 , 魏宇 , 夏东升 , 李建强 , 胡俊龙

河南省人民医院心血管外科（郑州 450003）;

Corresponding author：

Keywords：

冠状动脉心肌桥; 心肌桥松解术; 冠状动脉旁路移植术

DOI：

10.7507/1007-4848.20160043

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的探讨冠状动脉心肌桥（myocardial bridge，MB）的诊断、手术适应证、手术方式及手术效果。方法回顾性分析2010年6月至2014年12月我院13例冠状动脉心肌桥患者行外科手术治疗的临床资料，其中男9例、女4例，年龄42～68岁。单纯MB 8例，合并冠心病2例，合并瓣膜病2例，合并先天性房间隔缺损1例，单纯8例MB均在非体外循环下行心肌桥松解术，2例合并冠心病患者在非体外循环下行心肌桥松解+冠状动脉旁路移植术，其余3例均在体外循环心脏停跳下行心肌桥松解+心内畸形矫治术。结果 13例外科手术均获成功，无并发症发生，患者心绞痛症状缓解，心电图提示心肌缺血明显改善，超声心动图检查提示心功能较术前明显提高，术后随访3～48个月，1例单纯MB患者行松解术后仍有心绞痛，应用药物控制，其余术后无不适症状，冠状动脉CT显示无心肌桥。结论对冠状动脉心肌桥行外科手术治疗，能取得较满意的近、中期效果。

Citation： 王圣, 程兆云, 赵子牛, 权晓强, 魏宇, 夏东升, 李建强, 胡俊龙. Clinical Analysis of Surgical Treatment of Myocardial Bridge. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(2): 194-196. doi: 10.7507/1007-4848.20160043 Copy

1.	许建屏, 罗国华, 宋云虎, 等.冠状动脉心肌桥的外科治疗.中国胸心血管外科临床杂志, 2010, 2(17): 10-12.
2.	Mohlenkamp S, Hort W, Ce J, et al. Update on myocardial bridging. Circulation, 2002, 106(20): 2616-2622.
3.	黄克力, 朱平, 郑少忆, 等.外科治疗心肌桥19例分析.岭南心血管病杂志, 2012, 5(18): 249-252.
4.	Goitein O, Lacomis JM. Myocardial bridging: Noninvasive diagnosis with multidetector CT. J Comput Assist Tomogr, 2005, 29(2): 238-240.
5.	刘天壤, 李武, 徐海杰, 等. 64排CT冠状动脉血管成像与冠状动脉造影诊断冠状动脉心肌桥的价值比较.中国CT与MRI杂志, 2015, 1(13): 109-111.
6.	Mavi A, Sercelik A, Ayalp R, et al. The angiographic aspects of myocardial bridges in Turkish patients who have undergone coronary angiography. Ann Acad Med Singapore, 2008, 37(1): 49-53.
7.	王升平, 肖湘生, 刘士远.心肌桥及其影像学评价.医学影像学杂志, 2008, 18(4): 432-437.
8.	陈星权, 麦明杰, 郑少忆, 等.冠状动脉心肌桥16例外科治疗. 2011, 6(32): 1422-1423.
9.	董敏, 钱菊英.冠状动脉心肌桥研究现状.中华心血管病杂志, 2006, 34(5): 474-476.
10.	Berry JF, von Mering GO, Schmalfuse C, et al. Systolic compression of the left antirior descending coronary artery: A case series, review of the literature, and therapeutic options including stenting. Catheter Cardiovasc Interv, 2002, 56: 58-63.
11.	刘幼文, 刘强, 金光临, 等.支架置人术治疗有心肌缺血症状心肌桥的疗效观察.临床心血管病杂志, 2004, 20: 332-334.
12.	Li W, Li Y, Sheng L, et al. Myocardial bridge: is the risk of perforation increased? Can J Cardiol, 2008, 24(11): e80-e81.
13.	陈祥禹, 凡文博, 刘乾, 等.冠状动脉心肌桥的研究进展.中国老年学杂志, 2014, 2(34): 845-847.
14.	Rezayat P, Hassan D, Amirreza S, et al. Myocardial bridge, Surgical outcome and midterm follow up. Saudi Med J, 2006, 27(10): 1530-1533.
15.	叶卫华, 高长青, 吴扬, 等.手术治疗心肌桥15例报告.中国微创外科杂志, 2007, 7(5): 403-405.

1. 许建屏, 罗国华, 宋云虎, 等.冠状动脉心肌桥的外科治疗.中国胸心血管外科临床杂志, 2010, 2(17): 10-12.
2. Mohlenkamp S, Hort W, Ce J, et al. Update on myocardial bridging. Circulation, 2002, 106(20): 2616-2622.
3. 黄克力, 朱平, 郑少忆, 等.外科治疗心肌桥19例分析.岭南心血管病杂志, 2012, 5(18): 249-252.
4. Goitein O, Lacomis JM. Myocardial bridging: Noninvasive diagnosis with multidetector CT. J Comput Assist Tomogr, 2005, 29(2): 238-240.
5. 刘天壤, 李武, 徐海杰, 等. 64排CT冠状动脉血管成像与冠状动脉造影诊断冠状动脉心肌桥的价值比较.中国CT与MRI杂志, 2015, 1(13): 109-111.
6. Mavi A, Sercelik A, Ayalp R, et al. The angiographic aspects of myocardial bridges in Turkish patients who have undergone coronary angiography. Ann Acad Med Singapore, 2008, 37(1): 49-53.
7. 王升平, 肖湘生, 刘士远.心肌桥及其影像学评价.医学影像学杂志, 2008, 18(4): 432-437.
8. 陈星权, 麦明杰, 郑少忆, 等.冠状动脉心肌桥16例外科治疗. 2011, 6(32): 1422-1423.
9. 董敏, 钱菊英.冠状动脉心肌桥研究现状.中华心血管病杂志, 2006, 34(5): 474-476.
10. Berry JF, von Mering GO, Schmalfuse C, et al. Systolic compression of the left antirior descending coronary artery: A case series, review of the literature, and therapeutic options including stenting. Catheter Cardiovasc Interv, 2002, 56: 58-63.
11. 刘幼文, 刘强, 金光临, 等.支架置人术治疗有心肌缺血症状心肌桥的疗效观察.临床心血管病杂志, 2004, 20: 332-334.
12. Li W, Li Y, Sheng L, et al. Myocardial bridge: is the risk of perforation increased? Can J Cardiol, 2008, 24(11): e80-e81.
13. 陈祥禹, 凡文博, 刘乾, 等.冠状动脉心肌桥的研究进展.中国老年学杂志, 2014, 2(34): 845-847.
14. Rezayat P, Hassan D, Amirreza S, et al. Myocardial bridge, Surgical outcome and midterm follow up. Saudi Med J, 2006, 27(10): 1530-1533.
15. 叶卫华, 高长青, 吴扬, 等.手术治疗心肌桥15例报告.中国微创外科杂志, 2007, 7(5): 403-405.

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