[Myocardial bridging: a contemporary review]

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.