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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

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|November 28, 2002
PubMed

Insights

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.

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