@article{TEXTUAL,
      recid = {10244},
      author = {Tsukioka, Yusuke and Jeevanandam, Valluvan},
      title = { Successful Heart Transplantation With Myocardial  Bridging: A Case Report on Unroofing Technique},
      journal = {Cureus},
      address = {2023-11-21},
      number = {TEXTUAL},
      abstract = {Myocardial bridging (MB), a common anatomical variation  where a segment of a coronary artery is covered by  myocardium, poses a relative contraindication in heart  transplantation due to the risk of post-transplant  ischemia. This report presents a case of successful  transplantation of a donor heart with MB, where unroofing  (removal) of the myocardial bridge was performed. The donor  was a 42-year-old male with mild nonobstructive coronary  artery stenosis and MB. The recipient, a 55-year-old male,  suffered from ischemic cardiomyopathy and severe heart  failure. During transplantation, unroofing of the donor  heart’s MB was executed to mitigate the risk of myocardial  ischemia. The transplantation was successful with preserved  postoperative cardiac function. The unroofing procedure did  not significantly extend ischemic or operative time.  Postoperative electrocardiogram (ECG) and echocardiography  showed no signs of myocardial ischemia. Donor hearts with  MB can be utilized for transplantation with appropriate  surgical intervention. This case demonstrates the potential  of unroofing procedures in expanding the suitability of  donor hearts for transplantation, without increasing the  risk of postoperative complications or mortality.},
      url = {http://knowledge.uchicago.edu/record/10244},
}