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Myocardial bridging, a common anatomical variant rather than a congenital anomaly

Eli Konen1, Orly Goitein, Elio Di Segni

  • 1Department of Diagnostic Imaging, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. eli.konen@sheba.health.gov.il

Seminars in Ultrasound, CT, and MR
|June 21, 2008
PubMed

Insights

Myocardial bridging, a condition affecting coronary arteries, is more common than previously thought, according to new noninvasive imaging techniques. Multidetector computed tomography reveals its prevalence and features, prompting a re-evaluation of its clinical significance.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Coronary computed tomographic angiography (CCTA) is a noninvasive tool for coronary artery evaluation.
  • CCTA has renewed interest in myocardial bridging.
  • Recent studies using multidetector computed tomography (MDCT) show myocardial bridging is more prevalent than previously reported in angiographic series.

Purpose of the Study:

  • To provide an overview of current knowledge on myocardial bridging prevalence and features using MDCT.
  • To discuss the potential clinical implications of myocardial bridging.

Main Methods:

  • Utilizing multidetector computed tomography (MDCT) for coronary anatomy evaluation.
  • Reviewing recent studies on myocardial bridging identified via MDCT.

Main Results:

  • MDCT demonstrates myocardial bridging to be more prevalent than previously suggested by traditional angiography.
  • MDCT allows for detailed visualization of myocardial bridging features.

Conclusions:

  • Myocardial bridging is a more common finding with MDCT than previously recognized.
  • Further investigation into the clinical implications of myocardial bridging is warranted.

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