The biggest experience in treatment of symptomatic patients with myocardial "bridges"

Results Mostly (96,1%) MB was settled down at the LAD. The average systolic compression was 60%. We use individual approach in treatment, which is based on the compression level for tunneled part of the CA, the presence of atherosclerotic plaque, accompanying heart pathology. 254 (81.7%) patients received medication. To standard medical therapy with B-blockers, Ca channels blockers and antiaggregants we added anxiolytics. 96.06% of patients showed a significant improvement of being. Drug-eluting stents implantation of the tunneled artery was carried out for 22 patients (7.07%), for 4 (18.1%) patients in stent restenosis appeared. 35 (11.2%) patients had surgical correction, among them 15 CA bypass grafting (CABG); 1 supracoronary myotomy; epicardiotomy with dennervation of tunneled segment of CA had been performed for 5 patients; 2 patients with hypertrophic cardiomyopathy had undergone Morrow operation. For 12 patients with postinfarction aneurism of left ventricle we performed a CABG with resection of an aneurism of left ventricle with thrombectomy in 7 cases.