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Myocardial Bridge: a clinical review
Vijay G Kalaria1, Nishant Koradia, Jeffrey A Breall
1Krannert Institute of Cardiology, Clarian Cardiovascular Center, Department of Medicine, Indiana University, Indianapolis, Indiana 46202, USA. vkalaria@iupui.edu
Summary
Myocardial Bridge is a condition where coronary arteries run within the heart muscle. This review covers its anatomy, causes, symptoms, and treatments for this coronary angiographic variant.
Area of Science:
- Cardiovascular Anatomy
- Pathophysiology
Background:
- Myocardial Bridge is an uncommon congenital anomaly.
- It involves a segment of a coronary artery tunneling through the myocardium.
Purpose of the Study:
- To review the anatomical and pathophysiological basis of Myocardial Bridge.
- To discuss clinical presentations, prognoses, and treatment options.
Main Methods:
- Literature review of anatomical and clinical studies.
- Analysis of diagnostic criteria and therapeutic strategies.
Main Results:
- Myocardial Bridge can range from asymptomatic to causing significant ischemia.
- Surgical intervention is considered for severe or symptomatic cases.
Conclusions:
- Myocardial Bridge is a significant coronary anomaly requiring careful evaluation.
- Management strategies are tailored to individual patient presentation and severity.