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Basic and Translational Advances in Intestinal and Pancreatic Disease

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Congenital: Coronary: Editorial
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Surgical intervention for myocardial bridges: To do or not do to? That is the question
The Journal of Thoracic and Cardiovascular Surgery
Vol. 156Issue 4p1617Published online: February 17, 2018
- Paul J. Chai
Cited in Scopus: 1
Myocardial bridge, a congenital abnormality in which a portion of the epicardial coronary artery takes an intramuscular course, can be a controversial topic. Most coronary blood flow occurs in diastole, and so the impact of a myocardial bridge, at least theoretically, should be minimal. Nevertheless, systolic compression of the coronary artery has been associated with angina,¹ ventricular dysfunction,² and even sudden cardiac death,³ and systolic compression of the coronary artery has been demonstrated to impact diastolic flow in the coronary artery.