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Epicardial Ultrasound In A Case of Myocardial Bridge and Apical Hypertrophic Cardiomyopathy
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  • Lindsey Whalen,
  • Stephen Davies,
  • Karen Singh,
  • Gorav Ailawadi
Lindsey Whalen
University of Virginia Health System
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Stephen Davies
University of Virginia Health System
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Karen Singh
University of Virginia Health System
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Gorav Ailawadi
University of Virginia Health System
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Abstract

A 59-year-old male with a history of unstable angina was diagnosed with a myocardial bridge of the left anterior descending artery (LAD) and apical variant hypertrophic cardiomyopathy (AHCM). He underwent unroofing of the myocardial bridge and a left ventricular apical myectomy. Intraoperatively, epicardial ultrasound was used to identify the myocardial bridge with systolic compression of the LAD and confirm resolution of this compression postoperatively. Furthermore, epicardial ultrasound was used for guiding the degree of apical resection of the decompressed heart. This novel use of intraoperative epicardial ultrasound can help guide surgeons preoperatively and confirm results immediately after an operation.

Peer review status:ACCEPTED

15 Apr 2020Submitted to Journal of Cardiac Surgery
17 Apr 2020Assigned to Editor
17 Apr 2020Submission Checks Completed
19 Apr 2020Reviewer(s) Assigned
28 Apr 2020Review(s) Completed, Editorial Evaluation Pending
30 Apr 2020Editorial Decision: Accept