An Overview of Myocardial Bridging With a Focus on Multidetector CT Coronary Angiographic Findings.
10.4070/kcj.2008.38.11.583
- Author:
Sung Min KO
1
Author Information
1. Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea. ksm9723@yahoo.co.kr
- Publication Type:Review
- Keywords:
Coronary arteries;
Myocardial bridging;
Computerized tomography
- MeSH:
Chest Pain;
Coronary Angiography;
Coronary Artery Disease;
Coronary Vessels;
Humans;
Myocardial Bridging;
Plaque, Atherosclerotic;
Prevalence
- From:Korean Circulation Journal
2008;38(11):583-589
- CountryRepublic of Korea
- Language:English
-
Abstract:
Myocardial bridging (MB) is a common anatomical variant rather than a congenital anomaly, and it is usually considered benign. It is generally confined to the mid-portion of the left anterior descending coronary artery. Atherosclerotic plaques are often located in the segment proximal to the bridged segment, although the tunneled segment is typically spared. Conventional coronary angiography is the gold standard for detection, but it is invasive and may not be sensitive enough to detect a thin bridge. The prevalence of MB reported in multidetector CT (MDCT) coronary angiographic series has ranged from 3.5% to 30.5% in patients with chest pain or with suspected or known coronary artery disease. Today, MDCT coronary angiography is an alternative noninvasive imaging tool that allows for easy and accurate evaluation of MB.
