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A case of myocardial bridging as a rare cause of chest pain in children

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Abstract

Asymptomatic myocardial bridging is a frequently seen pathology in adult patients, often in association with hypertrophic cardiomyopathy. Left anterior descending coronary artery is mostly affected. We report on a 14-year-old boy with repeated angina-like pain, disturbances of repolarization in the ECG and elevated values for Troponin T. After exclusion of a myocarditis in the MRI, myocardial bridging was detectable in coronary angiography and confirmed by myocardial perfusion imaging with 430 MBq 99mTc-Tetrofosmin at rest and under physical stress. After surgical myotomy, improvement of the cardiac symptoms could be noted and myocardial perfusion imaging studies at rest and under stress demonstrated reversal of the myocardial ischemia. Myocardial bridging is a rare and important differential diagnosis for angina-like pain in childhood without hypertrophic cardiomyopathy.

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Authors and Affiliations

  1. Department of Pediatric Cardiology, Saarland University Medical Center, Kirrberger Str., 66421, Homburg/Saar, Germany

    Martin Poryo & Hashim Abdul-Khaliq

  2. Department of Nuclear Medicine, Saarland University Medical Center, Homburg/Saar, Germany

    Fadi Khreish

  3. Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany

    Hans-Joachim Schäfers

Authors
  1. Martin Poryo
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  2. Fadi Khreish
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  3. Hans-Joachim Schäfers
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  4. Hashim Abdul-Khaliq
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Corresponding author

Correspondence to Martin Poryo.

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The authors have no conflict of interest to declare.

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Poryo, M., Khreish, F., Schäfers, HJ. et al. A case of myocardial bridging as a rare cause of chest pain in children. Clin Res Cardiol 105, 279–281 (2016). https://doi.org/10.1007/s00392-015-0915-3

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  • DOI: https://doi.org/10.1007/s00392-015-0915-3

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