【摘要】 目的总结19例心肌桥患者的外科治疗经验。方法2006年1月至2011年4月广东省人民医院共收治心肌桥患者19例,男11例,女8例,年龄(53.4±13.9)岁。4例单纯性心肌桥,15例合并有其他心脏疾病。19例均为左冠状动脉前降支心肌桥,近段6例,中段8例,远段5例;埋入心肌冠状动脉长0.5～5 cm;收缩期冠状动脉管腔狭窄40%～95%。15例在体外循环下行心肌桥松解术,4例在非体外循环下松解,合并的其他心脏畸形给予同期矫治。结果全组无死亡及术后并发症的发生,随访4个月～5年,均无不适症状。结论外科治疗心肌桥是安全和有效的,不能药物治疗和造成冠状动脉严重狭窄的心肌桥可考虑手术治疗。更多还原

【Abstract】 Objectives To summarize the experience of the surgical treatment of coronary myocardial bridge.Methods Nineteen patients(11 male,8 female),aged(53.4±13.9) years,underwent surgical treatment in Guangdong General Hospital From January 2006 to April 2011 were included in this study.There were 4 cases with isolated myocardial bridge,15 cases complicated with other coronary artery heart diseases.All the myocardial bridge of 19 patients happened in left anterior descending,6 cases of which with proximal segments,8 cases with middle segments,and 5 cases with distal segments.The length of the myocardial bridge varied from 0.5 to 5.0 cm,and the systolic coronary artery stenosis varied from 40% to 95%.Fifteen cases were under cardiopulmonary bypass,and others under off-pump.Results All patients survived and recovered uneventfully.Neither hospital or late death nor major complications occurred in the follow-up(4 months to 5 years).Conclusions The surgical treatment of coronary myocardial bridge is safe and satisfing.The patients who are refractory to medication should actively undergo the surgical procedures.更多还原