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Multivessel myocardial bridging in a patient with spiral hypertrophic cardiomyopathy
Timothy Fritz1, Wissam Abdallah1, Richard McNamara1
1Spectrum Health Frederik Meijer Heart & Vascular Institute, Grand Rapids, Michigan, USA.
Insights
Myocardial bridging, often seen in hypertrophic cardiomyopathy, typically affects the left anterior descending artery. This case highlights a rare spiral pattern of hypertrophic cardiomyopathy compressing all three coronary arteries.
Area of Science:
- Cardiology
- Cardiovascular Pathology
Background:
- Myocardial bridging is a known phenomenon in hypertrophic cardiomyopathy (HCM).
- It commonly involves the left anterior descending (LAD) artery and is associated with septal hypertrophy.
Abstract:
Myocardial bridging is commonly observed in hypertrophic cardiomyopathy, usually confined to the left anterior descending (LAD), and correlates to the hypertrophic septum. We present a patient with unique spiral hypertrophic cardiomyopathy (HCM) and compression of all three coronary arteries corresponding to this hypertrophy pattern.
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