Myocardial bridges in the human heart: morphological aspects
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Published on: June 14, 2016
1Department of Clinical Anatomy, Medical University, ul. Debinki 1, 80-211 Gdańsk, Poland. kosinski@amedec.amg.gda.pl
Insights
Muscle bridges, myocardial structures over coronary arteries, are common, found in 41% of hearts studied. Their variable dimensions and angles are detailed, with potential clinical relevance noted.
Area of Science:
- Anatomy
- Cardiovascular Science
Background:
- Muscle bridges are myocardial structures that traverse coronary arteries.
- Existing literature on muscle bridges presents heterogeneous data regarding their prevalence and clinical significance.
Purpose of the Study:
- To investigate the prevalence and anatomical characteristics of muscle bridges in adult human hearts.
- To provide homogenous data on muscle bridge dimensions and orientation relative to coronary arteries.
Main Methods:
- Analysis of 100 adult human hearts (both sexes, age 21-76) preserved in formalin-ethanol.
- Utilized standard anatomical dissection methods aided by a binocular magnifying glass.
Main Results:
- Muscle bridges were identified in 41% of the specimens.
- The most frequent location was over the anterior interventricular branch of the coronary artery.
- Observed bridge lengths ranged from 2.3-42.8 mm, thickness from 1.0-3.8 mm, with angles varying from 5 to 90 degrees.
Conclusions:
- Muscle bridges are a frequent anatomical finding in adult human hearts.
- The study provides detailed morphometric data on muscle bridges, contributing to a more homogenous understanding of this phenomenon.
- Further research may explore the clinical implications of these anatomical variations.
Abstract:
The structures made of myocardium running most often above the coronary arteries are called the muscle bridges. However there is a large number of descriptions of that phenomenon, the data are not homogenous. Some papers affirm the occurrence of the clinical implications of their existence. The studied material contained 100 adult human hearts, both sexes, 21 to 76 years of age, preserved in formalin-ethanol solution. Standard anatomical methods were used in analysis with the help of a binocular magnifying glass. The presence of the bridges was confirmed in 41% of the researched material, most frequently above the anterior interventricular branch. The length of the bridges varies in the range of 2.3-42.8 mm, thickness 1.0-3.8 mm, angle between long axis of muscle fibres and long axis of the crossed vessel from 5 degrees to 90 degrees.
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