Surgical myocardial bridge unroofing is safe and effective. Stanford doctors use new imaging techniques to map the muscle bridge very precisely before surgery is considered.

2016年10月13日 · A fifth, published online Oct. 13 in the Annals of Thoracic Surgery, finds that a procedure called surgical unroofing is safe and provides significant relief for patients with myocardial bridges who have incapacitating symptoms, such as chest pain, arrhythmias and fatigue, that are not helped by medication alone.

2020年7月13日 · In AAOCA, one of the coronary arteries arises from the aorta in an abnormal position. This condition may be found incidentally when a patient undergoes a CT scan for another reason or it may be encountered during a work-up for chest pain or other symptoms.

2023年2月9日 · The procedure involves complete unroofing of the anomalous coronary artery within the ventricular septum and bridging it with pericardium (Figure 2). It was described in detail in 2019 (Ann Thorac Surg. 2019;108:e383-e386) and recently updated with midterm outcomes from 14 patients (Ann Thorac Surg. 2023;115:e29-e31).

2021年11月2日 · Unroofing is a procedure that involves performing an aortotomy to free the intramural coronary segment, by making a longitudinal incision just above it, and creating a neo‐ostium.

2022年8月19日 · Surgical unroofing via standard median sternotomy or minimally invasive approaches stands as an effective treatment for symptomatic and hemodynamically significant myocardial bridges.

Surgical myocardial bridge unroofing is safe and effective. Stanford doctors use new imaging techniques to map the muscle bridge very precisely before

The advantage of unroofing is that it relocates the functional orifice to the appropriate sinus and enlarges the orifice considerably. Also, it eliminates the intramural portion of the anomalous artery and eliminates the segment that lies between the great arteries.

2011年11月8日 · The currently favored approach for repair is the anatomic correction by an unroofing procedure, that results in relocation of the coronary artery into the appropriate aortic sinus and is demonstrated in the following video.

2021年1月1日 · For the very small subset of people with debilitating symptoms that aren't relieved by medication, surgery is an option. The procedure, known as surgical unroofing, cuts through the heart muscle to uncover the tunneled artery.