Evidence map›Paper›PMID 42467042›Full record

ArticleJACC. Case reports2026

Coronary Artery Bypass Grafting for Myocardial Bridging 21 Years After the Senning Procedure.

Hisashi Yoshida, Azumi Hamasaki, Michinobu Nagao, Takeshi Shinkawa, Akiko Yamagata, Kensuke Nakamura, Hiroshi Niinami

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hisashi YoshidaDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan. Electronic address: Yoshida.hisashi@twmu.ac.jp.
Azumi HamasakiDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Michinobu NagaoDepartment of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, Tokyo, Japan.
Takeshi ShinkawaDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Akiko YamagataDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Kensuke NakamuraDepartment of Cardiovascular Medicine and Endocrinology and Metabolism, Faculty of Medicine, Tottori University, Tottori, Japan.
Hiroshi NiinamiDepartment of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial bridging in adult patients with congenital heart disease is rare. CASE SUMMARY: A 21-year-old man with d-transposition of the great arteries who underwent the Senning procedure presented with exertional fatigue and chest pain. Medical examination revealed ascending aortic stenosis and myocardial bridging of the left anterior descending artery. The patient underwent ascending aortic replacement and coronary artery bypass grafting by saphenous vein-free right internal mammary artery graft. Postoperative examination demonstrated excellent graft patency and improvement of ischemia. DISCUSSION: This case highlights a rare presentation of symptomatic myocardial bridging decades after the Senning procedure. Careful graft selection and design are essential to achieve durable revascularization in young patients. TAKE-HOME MESSAGES: Myocardial bridging should be considered as a potential cause of myocardial ischemia in adult patients with congenital heart disease. When myotomy is technically challenging or high-risk, carefully planned coronary artery bypass grafting with an appropriate graft strategy can provide effective revascularization.

Indexed as

coronary artery bypass graftingmyocardial bridgingSenning proceduretransposition of the great arteries

Identifiers

PMID42467042
PMCPMC13531082

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.