Successful Course After Supraarterial Myotomy for Myocardial Bridging and Milking Effect of the Left Anterior Descending Artery
We report 3 patients having a grade III milking effect of the proximal left anterior descending artery (LAD) and suffering from angina. Preoperative myocardial ischemia was demonstrated by stress ECG in all 3 and by pacing and lactates studies in 2. Surgical decompression of the systolically constri...
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| Veröffentlicht in: | The Annals of thoracic surgery 1977-11, Vol.24 (5), p.422-429 |
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| container_title | The Annals of thoracic surgery |
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| creator | Grondin, Pierre Bourassa, Martial G. Noble, Jacques Petitclerc, Robert Dydra, Ihor |
| description | We report 3 patients having a grade III milking effect of the proximal left anterior descending artery (LAD) and suffering from angina. Preoperative myocardial ischemia was demonstrated by stress ECG in all 3 and by pacing and lactates studies in 2. Surgical decompression of the systolically constricted artery has resulted in disappearance of angina, milking, and ischemia.
Severe milking of the LAD is a rare entity, probably congenital in origin, capable of producing myocardial ischemia and possibly causing sudden death. More studies regarding its etiology and pathophysiology are necessary. Biopsy of the myocardium surrounding the artery could be useful. |
| doi_str_mv | 10.1016/S0003-4975(10)63435-2 |
| format | Article |
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Severe milking of the LAD is a rare entity, probably congenital in origin, capable of producing myocardial ischemia and possibly causing sudden death. More studies regarding its etiology and pathophysiology are necessary. Biopsy of the myocardium surrounding the artery could be useful.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)63435-2</identifier><identifier>PMID: 921375</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Angina Pectoris - diagnosis ; Coronary Angiography ; Coronary Circulation ; Coronary Disease - diagnosis ; Coronary Disease - surgery ; Coronary Disease - therapy ; Coronary Vessels - surgery ; Humans ; Male ; Middle Aged</subject><ispartof>The Annals of thoracic surgery, 1977-11, Vol.24 (5), p.422-429</ispartof><rights>1977 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-4cc045970ac49dcfe1c9136be086bcbac07a2b915974a9487273b31e8707c45e3</citedby><cites>FETCH-LOGICAL-c309t-4cc045970ac49dcfe1c9136be086bcbac07a2b915974a9487273b31e8707c45e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/921375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Grondin, Pierre</creatorcontrib><creatorcontrib>Bourassa, Martial G.</creatorcontrib><creatorcontrib>Noble, Jacques</creatorcontrib><creatorcontrib>Petitclerc, Robert</creatorcontrib><creatorcontrib>Dydra, Ihor</creatorcontrib><title>Successful Course After Supraarterial Myotomy for Myocardial Bridging and Milking Effect of the Left Anterior Descending Artery</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>We report 3 patients having a grade III milking effect of the proximal left anterior descending artery (LAD) and suffering from angina. Preoperative myocardial ischemia was demonstrated by stress ECG in all 3 and by pacing and lactates studies in 2. Surgical decompression of the systolically constricted artery has resulted in disappearance of angina, milking, and ischemia.
Severe milking of the LAD is a rare entity, probably congenital in origin, capable of producing myocardial ischemia and possibly causing sudden death. More studies regarding its etiology and pathophysiology are necessary. Biopsy of the myocardium surrounding the artery could be useful.</description><subject>Adult</subject><subject>Angina Pectoris - diagnosis</subject><subject>Coronary Angiography</subject><subject>Coronary Circulation</subject><subject>Coronary Disease - diagnosis</subject><subject>Coronary Disease - surgery</subject><subject>Coronary Disease - therapy</subject><subject>Coronary Vessels - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUMuO0zAUtRCvMvAHIHmFYBHwI47rFSpleEgdsSisLefmejCkcbETpK74dezpaLasfHzP49qHkBecveGMd2_3jDHZtEarV5y97mQrVSPukRVXSjSdUOY-Wd1JHpMnOf8sV1HoR-ShEVxqtSJ_9wsA5uyXkW7jkjLSjZ8x0f1yTM6lAoMb6dUpzvFwoj6misGloY7fpzBch-maummgV2H8VfGl9wgzjZ7OP5Du0M90M9Wc4v2AGXAaqmxTs09PyQPvxozPbs8L8v3j5bft52b39dOX7WbXgGRmbloA1iqjmYPWDOCRg-Gy65Gtux56B0w70RteJK0z7VoLLXvJca2ZhlahvCAvz7nHFH8vmGd7COUp4-gmjEu2WmpuhFZFqM5CSDHnhN4eUzi4dLKc2dq7vend1lLr6KZ3K4rv-e2CpT_gcOc6F13od2cayyf_BEw2Q8AJcAiptGWHGP6z4B9kYpNx</recordid><startdate>197711</startdate><enddate>197711</enddate><creator>Grondin, Pierre</creator><creator>Bourassa, Martial G.</creator><creator>Noble, Jacques</creator><creator>Petitclerc, Robert</creator><creator>Dydra, Ihor</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197711</creationdate><title>Successful Course After Supraarterial Myotomy for Myocardial Bridging and Milking Effect of the Left Anterior Descending Artery</title><author>Grondin, Pierre ; Bourassa, Martial G. ; Noble, Jacques ; Petitclerc, Robert ; Dydra, Ihor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-4cc045970ac49dcfe1c9136be086bcbac07a2b915974a9487273b31e8707c45e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Adult</topic><topic>Angina Pectoris - diagnosis</topic><topic>Coronary Angiography</topic><topic>Coronary Circulation</topic><topic>Coronary Disease - diagnosis</topic><topic>Coronary Disease - surgery</topic><topic>Coronary Disease - therapy</topic><topic>Coronary Vessels - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grondin, Pierre</creatorcontrib><creatorcontrib>Bourassa, Martial G.</creatorcontrib><creatorcontrib>Noble, Jacques</creatorcontrib><creatorcontrib>Petitclerc, Robert</creatorcontrib><creatorcontrib>Dydra, Ihor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grondin, Pierre</au><au>Bourassa, Martial G.</au><au>Noble, Jacques</au><au>Petitclerc, Robert</au><au>Dydra, Ihor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Course After Supraarterial Myotomy for Myocardial Bridging and Milking Effect of the Left Anterior Descending Artery</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1977-11</date><risdate>1977</risdate><volume>24</volume><issue>5</issue><spage>422</spage><epage>429</epage><pages>422-429</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>We report 3 patients having a grade III milking effect of the proximal left anterior descending artery (LAD) and suffering from angina. Preoperative myocardial ischemia was demonstrated by stress ECG in all 3 and by pacing and lactates studies in 2. Surgical decompression of the systolically constricted artery has resulted in disappearance of angina, milking, and ischemia.
Severe milking of the LAD is a rare entity, probably congenital in origin, capable of producing myocardial ischemia and possibly causing sudden death. More studies regarding its etiology and pathophysiology are necessary. Biopsy of the myocardium surrounding the artery could be useful.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>921375</pmid><doi>10.1016/S0003-4975(10)63435-2</doi><tpages>8</tpages></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1977-11, Vol.24 (5), p.422-429 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Angina Pectoris - diagnosis Coronary Angiography Coronary Circulation Coronary Disease - diagnosis Coronary Disease - surgery Coronary Disease - therapy Coronary Vessels - surgery Humans Male Middle Aged |
| title | Successful Course After Supraarterial Myotomy for Myocardial Bridging and Milking Effect of the Left Anterior Descending Artery |
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