Abstract
Myocardial bridging is a congenital condition in which a segment of a major epicardial coronary artery has an intramyocardial course. Myocardial bridging is usually confined to a single vessel (typically the mid segment of the left anterior descending artery) and is usually asymptomatic, however, bridging may be associated with chest pain, myocardial infarction, or sudden cardiac death. While more commonly identified at autopsy, myocardial bridging is occasionally diagnosed by coronary angiography with identification of concomitant myocardial bridging involving both the left and right coronary arteries appearing to be uncommon. We present three patients presenting with atypical chest pain symptoms in whom concomitant right coronary artery and left anterior descending artery myocardial bridging was identified by ECG gated multidetector computed tomography (MDCT).
References
Woldow A, Goldstein S, Yazdanifer S (1994) Angiographic evidene of right coronary bridging. Cathet Cardiovasc Diagn 32:351–353
Gurewitch J, Gotsman M, Rozenman Y (1999) Right ventricular myocardial bridge in a patient with pulmonary hypertension: a case report. Angiology 50:345–347
Ferreira A, Trotter S, Konig B, Decourt L, Fox K, Olson E (1991) Myocardial bridges: morphological and functional aspects. Br Heart J 66:364–367
Takeuchi M, Himeno E (1997) Coronary angioplasty of a severe coronary stenosis at the site of a myocardial bridge. Cathet Cardiovasc Diagn 41:416–420
Tauth J, Sullebarger J (1997) Myocardial infaction associated with myocardial bridging: case history and review of the literature. Cathet Cardiovasc Diagn 40:364–367
Mohlenkamp S, Hort W, Ge J, Erbel R (2002) Updaye on myocardial bridging. Circulation 106:2616–2622
Kramer J, Kitazume H, Proudfit W, Sones F (1982) Clinical significance of isolated coronary bridges: benign and frequent condition involving the left coronary artery. Am Heart J 103:283–288
Eber B, Kilzer K, Luha O, Schumacher M, Fruhwald F, Gasser R, Klein W (1991) Anomalien der koronaraterien im erwachsenenalter. Wien Med Wochenschr 141:406–411
Morales A, Romanelli R, Boucek R (1980) The mural left anterior descending coronary artery, strenuous exercise and sudden death. Circulation 62:230–237
Angelini P, Leachman R, Autrey A (1986) Atypical phasic coronary artery narrowing. Cathet Cardiovasc Diagn 12:39–43
Dominguez B, Valderram V, Arrocha R, Lombona R (1992) Puente miocardico como causa de insuficiencia coronaria. Rev Med Panama 17:28–35
Kulkarni M, Sodani A, Rosita, Puranik C, Sullere S, Saha B (2004) Right myocardial bridge on CT coronary angiography. J Assoc Phys India 52:661–662
Polacek P (1961) Relation of myocardial bridges and loops on the coronary arteries to coronary occlusions. Am Heart J 61:44–52
Mazzu A, Di Tano G, Cogode R, Lo Presti G (1995) Myocardial bridging involving more than one site of the left anterior descending coronary artery: an uncommon cause of acute ischemia syndrome. Cathet Cardiovasc Diagn 34:329–332
Kuettner A, Burgstahler C, Beck T, Drosch T, Kopp A, Hueschmid M, Claussen C, Schroeder S (2005) Coornary vessel visualization using true 16-row multislice computed tomography technology. Int J Cardiovasc Imaging 21:331–337
Ohnesonge B, Hofmann L, Flohr T, Schoepf U (2005) CT for imaging coronary artery disease: defin ing the paradigm for its application. Int J Cardiovasc Imaging 21:85–104
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rychter, K., Salanitri, J. & Edelman, R.R. Multifocal coronary artery myocardial bridging involving the right coronary and left anterior descending arteries detected by ECG-gated 64 slice multidetector CT coronary angiography. Int J Cardiovasc Imaging 22, 713–717 (2006). https://doi.org/10.1007/s10554-006-9086-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10554-006-9086-7