Coronary angiography myocardial bridge

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

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Overview

A myocardial bridge or MB is defined as a segment of a major coronary epicardial artery that "tunnels" or passes intramurally through the myocardium beneath the muscle bridge during systole.[1][2] Myocardial bridges are generally located in the distribution of the left anterior descending artery (LAD) and its diagonal branches.

Example

Shown below is an animated image depicting myocardial bridge.

Myocardial bridging


Shown below are two static images of the same case depicting myocardial bridge. Outlined with yellow in the image on the left is the part of the coronary artery during diastole. This same part of the coronary artery is outlined in yellow in the image on the right during systole; note that this outlined part is narrowed compared to its shape during diastole. Shape of the coronary artery during diastole The coronary artery is narrowed during systole which is consistent myocardial bridging.


References

  1. Alegria JR, Herrmann J, Holmes DR, Lerman A, Rihal CS (2005). "Myocardial bridging". European Heart Journal. 26 (12): 1159–68. doi:10.1093/eurheartj/ehi203. PMID 15764618. Retrieved 2012-07-01. Unknown parameter |month= ignored (help)
  2. Möhlenkamp S, Hort W, Ge J, Erbel R (2002). "Update on myocardial bridging". Circulation. 106 (20): 2616–22. PMID 12427660. Retrieved 2012-07-01. Unknown parameter |month= ignored (help)


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