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The relationship between the directions of myocardial bridges and of the branches of the coronary arteries in the human heart

Relations entre l'axe des ponts myocardiques et les branches des artères coronaires chez l'homme

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Summary

The variations of the direction of the myocardial bundles of the bridges over coronary arteries and branches were studied in relation to the direction of the vessels over which they are found. The investigation was performed on 82 hearts of individuals whose death was accidental and unrelated to cardiac disease. The hearts were obtained from cadavers of individuals of either sex and different racial groups, whose age ranged from 7 to 68 years. The angle between the direction of the musculature and of the vessels may explain why in some cases there is no change in the structure of the “pontine portion” of the wall.

Résumé

Ce travail étudie les variations de direction des fibres des ponts myocardiques et des artères coronaires et de leurs branches recouvertes par ces ponts. Les recherches ont été effectuées sur 82 coeurs de sujets décédés accidentellement et ne présentant aucune pathologie cardiaque. Ces coeurs ont été prélevés sur des sujets des deux sexes et de différents groupes raciaux dont l'âge s'échelonnait entre 7 et 68 ans. L'angle qui existe entre la direction des fibres musculaires et celle des vaisseaux peut expliquer pourquoi dans certains cas il n'y a pas de modification dans la structure de la paroi artérielle au niveau de sa “portion pontée”.

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References

  1. Baptista CAC, DiDio LJA, Davis TD, Teofilovski-Parapid G (1988) The cardiac apex and its superficial blood supply. Surg Radiol Anat 10: 151–160

    Google Scholar 

  2. Bezerra AJC (1982) Contribuicao para o conhecimento das pontes de miocardio. Sao Paulo (Tese Dissertacao de Mestrado Escola Paulista de Medicina)

  3. Bezerra AJC, Prates JC and DiDio LJA (1987) Incidence and clinical significance of bridges of myocardium over the coronary arteries and their branches. Surg Radiol Anat 9: 273–280

    Google Scholar 

  4. Binet JP, Guiraudon G, Langlois J, Prot C, Vachon J, Grosgogeat Y (1977) Angine de poitrine et ponts musculaires sur l'artere interventriculaire anterieure. A propos de 3 cas operes. Arch Mal Coeur 71: 251

    Google Scholar 

  5. Boucek RJ, Morales AR, Romanelli R and Judkins MP (1984) Coronary Artery Disease: Pathologic and Clinical Assessment. Williams & Wilkins, Baltimore

    Google Scholar 

  6. Caldani LM, Caldani F (1810) Icones Anatomicae. Venetia, Picotti, vol III/I

  7. Carvalho VB and Macruz R (1989) Cardiopatia Isquemica: Aspecto de Importancia Clinica. Sarvier, Sao Paulo

    Google Scholar 

  8. Crainicianu A (1922) Anatomische Studien uber die Coronarterien und experimentelle Untersuchungen uber ihre Durchganigkeit. Virch Arch Path Anat 238: 1

    Google Scholar 

  9. Decourt LV, Carvalho VB and Martinez JRM (1980) Ponte miocardiaca uma entidade controvertida. Rev Hosp Clin Fac Med S Paulo 35: 157

    Google Scholar 

  10. Edwards JC, Burnsides C, Swarm RL, Lansing AI (1956) Arterosclerosis in the intramural and extramural portion of coronary arteries in the human heart. Circulation 13: 235

    Google Scholar 

  11. Fulton WFM (1965) The Coronary Arteries: Arteriography, Microanatomy and Pathogenesis of Obliterative Coronary Artery Disease. Springfield, Charles C Thomas

    Google Scholar 

  12. Geiringer R (1951) The mural coronary artery. Am Heart J 41: 359

    Google Scholar 

  13. Morales AR, Romanelli R and Boucek RJ (1980) The mural left anterior descending coronary artery, strenuous exercise and sudden death. Circulation 62: 230

    Google Scholar 

  14. Netter FH (1989) Atlas of Human Anatomy. CIBA Geigy Corp., Summit, New Jersey

    Google Scholar 

  15. Polacek P (1951) Relation of myocardial bridges and loop on the coronary arteries to coronary occlusion. Am Heart J 14: 359

    Google Scholar 

  16. Polacek P, Zechmeister A (1968) The Occurrence and Significance of Myocardial Bridges and Loops on Coronary Arteries, monography 36, Opuscula cardiologica, Brno, Czechoslovakia, Universita J E Purkynje

  17. Reyman HC (1737) Dissertatio de vasis cordis propriis. Bibl Anat 2: 366

    Google Scholar 

  18. Spalteholz W (1924) Die Arterien der Herzwand, anatomische Untersuchungen an Menschen-und Tierherzen. Hirzel, Stuttgart

    Google Scholar 

  19. Stolte M, Weis P, Prestele H (1977) Die Koronare Muskel Brucke des Ramus descendens anterior. Virchows Arch Path Anat 375: 23

    Google Scholar 

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Baptista, C.A.C., DiDio, L.J.A. The relationship between the directions of myocardial bridges and of the branches of the coronary arteries in the human heart. Surg Radiol Anat 14, 137–140 (1992). https://doi.org/10.1007/BF01794890

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  • DOI: https://doi.org/10.1007/BF01794890

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