Multiple myocardial bridging in the elderly: A rare case
Benedicta Mutiara Suwita1, Indrati Suroyo1
1Radiology Department, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia.
Insights
This study reports a rare case of multiple myocardial bridges in an elderly Asian female, affecting the left anterior descending, obtuse marginal, and ramus intermedius arteries. It highlights uncommon coronary artery anomalies in older populations.
Area of Science:
- Cardiology
- Anatomical Pathology
- Medical Imaging
Background:
- Myocardial bridging is a congenital anomaly where a coronary artery segment tunnels through heart muscle.
- While common in the left anterior descending artery, bridging in other coronary arteries is rare, particularly in the elderly.
- Multiple coronary artery involvement in myocardial bridging is exceptionally uncommon.
Abstract:
Myocardial bridging occurs when a segment of major epicardial coronary artery courses intramurally through myocardium, commonly involving the left anterior descending. However, myocardial bridging involving coronary arteries other than left anterior descending is less-common and rarely reported, especially in the elderly population. We report a rare case of multiple myocardial bridging involving the left anterior descending, first obtuse marginal, and ramus intermedius in a 68-year-old Asian female. We also briefly discuss the imaging evaluation and pathophysiology of myocardial ischemia in myocardial bridging. This is the second reported case of myocardial bridging involving such combination, and to our knowledge, the first for elderly patient.
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