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[Myocardial bridging: a contemporary review]

Raouf Madhkour1, Hatem Ksouri2, Jacques Noble3

  • 1Service de cardiologie, Inselspital, 3010 Bern.

Revue Medicale Suisse
|June 14, 2019
PubMed

Insights

Myocardial bridging is an uncommon congenital heart condition where a coronary artery is compressed. While usually benign, it can cause severe complications, necessitating treatment.

Area of Science:

  • Cardiology
  • Anatomy
  • Congenital Heart Disease

Background:

  • Myocardial bridging involves an abnormal anatomical relationship between heart muscle (myocardium) and a coronary artery.
  • It most frequently affects the left anterior descending coronary artery.
  • While often asymptomatic, it can lead to severe, life-threatening complications.

Purpose of the Study:

  • To present a clinical case of myocardial bridging.
  • To review the existing literature on myocardial bridging.
  • To discuss diagnostic and therapeutic options for myocardial bridging.

Main Methods:

  • Angiography remains the gold standard for diagnosis, showing characteristic systolic compression or "milking" of the affected coronary artery.
  • Literature review of myocardial bridging cases and treatments.
  • Clinical case presentation.

Main Results:

  • Myocardial bridging is typically congenital and can present with serious complications.
  • Angiography is crucial for diagnosis.
  • Various treatment options exist, including medical and interventional approaches.

Conclusions:

  • Myocardial bridging, though often benign, requires careful consideration due to potential severe complications.
  • Accurate diagnosis via angiography is essential.
  • Therapeutic strategies should be individualized based on patient presentation.

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