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Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report

Pulmonary thromboendarterectomy is a potentially curative option for most patients with chronic thromboembolic pulmonary hypertension (CTEPH). However, a special group of patients with CTEPH requires simultaneous cardiac procedures. We report a rare case of successful surgical treatment of a CTEPH p...

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Autores principales: Zugurov, Ilkhom K., Osadchii, Aleksei M., Simakova, Maria A., Moiseeva, Olga M., Gordeev, Mikhail L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780367/
https://www.ncbi.nlm.nih.gov/pubmed/36568548
http://dx.doi.org/10.3389/fcvm.2022.1061665
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author Zugurov, Ilkhom K.
Osadchii, Aleksei M.
Simakova, Maria A.
Moiseeva, Olga M.
Gordeev, Mikhail L.
author_facet Zugurov, Ilkhom K.
Osadchii, Aleksei M.
Simakova, Maria A.
Moiseeva, Olga M.
Gordeev, Mikhail L.
author_sort Zugurov, Ilkhom K.
collection PubMed
description Pulmonary thromboendarterectomy is a potentially curative option for most patients with chronic thromboembolic pulmonary hypertension (CTEPH). However, a special group of patients with CTEPH requires simultaneous cardiac procedures. We report a rare case of successful surgical treatment of a CTEPH patient with a left anterior descending artery myocardial bridge. Despite the complexity of performing pulmonary thromboendarterectomy (PTE), the issue concerning the method of revascularization of the artery in the case of the left anterior descending artery myocardial bridge is controversial. PTE and supracoronary myotomy were performed. In our case, the optimal surgery method for the left anterior descending artery myocardial bridge was chosen intraoperatively based on the depth and length of the myocardial bridge. The patient's significant functional improvement after surgery and hemodynamic normalization were confirmed at the follow-up assessment. This case demonstrates rare but potentially dangerous pathologies that can be treated with minimal adverse effects.
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spelling pubmed-97803672022-12-24 Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report Zugurov, Ilkhom K. Osadchii, Aleksei M. Simakova, Maria A. Moiseeva, Olga M. Gordeev, Mikhail L. Front Cardiovasc Med Cardiovascular Medicine Pulmonary thromboendarterectomy is a potentially curative option for most patients with chronic thromboembolic pulmonary hypertension (CTEPH). However, a special group of patients with CTEPH requires simultaneous cardiac procedures. We report a rare case of successful surgical treatment of a CTEPH patient with a left anterior descending artery myocardial bridge. Despite the complexity of performing pulmonary thromboendarterectomy (PTE), the issue concerning the method of revascularization of the artery in the case of the left anterior descending artery myocardial bridge is controversial. PTE and supracoronary myotomy were performed. In our case, the optimal surgery method for the left anterior descending artery myocardial bridge was chosen intraoperatively based on the depth and length of the myocardial bridge. The patient's significant functional improvement after surgery and hemodynamic normalization were confirmed at the follow-up assessment. This case demonstrates rare but potentially dangerous pathologies that can be treated with minimal adverse effects. Frontiers Media S.A. 2022-12-09 /pmc/articles/PMC9780367/ /pubmed/36568548 http://dx.doi.org/10.3389/fcvm.2022.1061665 Text en Copyright © 2022 Zugurov, Osadchii, Simakova, Moiseeva and Gordeev. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Zugurov, Ilkhom K.
Osadchii, Aleksei M.
Simakova, Maria A.
Moiseeva, Olga M.
Gordeev, Mikhail L.
Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title_full Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title_fullStr Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title_full_unstemmed Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title_short Surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: A case report
title_sort surgical treatment of chronic thromboembolic pulmonary hypertension in combination with a left anterior descending artery myocardial bridge: a case report
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9780367/
https://www.ncbi.nlm.nih.gov/pubmed/36568548
http://dx.doi.org/10.3389/fcvm.2022.1061665
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