Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature
ABSTRACT Myocardial bridging is a common coronary anomaly. Although it is considered to be a benign condition, it can rarely be complicated by myocardial infarction. Clinicians should be suspicious of myocardial bridging as an etiology of myocardial infarction when other more common etiologies have...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.70055 |
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| author | Merga Daba Dawit Bineyam Ibraist Yohannes Beniam Yohannes Rabirra Waktola Eshetu Bedada |
| author_facet | Merga Daba Dawit Bineyam Ibraist Yohannes Beniam Yohannes Rabirra Waktola Eshetu Bedada |
| author_sort | Merga Daba |
| collection | DOAJ |
| description | ABSTRACT Myocardial bridging is a common coronary anomaly. Although it is considered to be a benign condition, it can rarely be complicated by myocardial infarction. Clinicians should be suspicious of myocardial bridging as an etiology of myocardial infarction when other more common etiologies have been excluded. High resolution CT angiography is the gold standard for diagnostic evaluation, with the length and depth of the bridge, and response to conservative therapies guiding clinical decision making on surgical correction. Myocardial bridging is a congenital coronary anomaly in which the coronary arteries pass through the heart muscle rather than lying on its surface. It is typically a benign condition, and most patients are asymptomatic. However, some may experience symptoms of angina. In rare cases, patients can present with myocardial ischemia or infarction. In this report, we present the case of a 38‐year‐old female who presented with a 2‐month history of chest pain. Further evaluation with coronary computed tomography angiography (CCTA) revealed myocardial bridging. Subsequently, she developed a myocardial infarction, a rare complication of this condition. We discuss this uncommon complication of a common anomaly. |
| format | Article |
| id | doaj-art-a781cb3ec8db49e3ab7096f308cc0d4e |
| institution | Kabale University |
| issn | 2050-0904 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj-art-a781cb3ec8db49e3ab7096f308cc0d4e2025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70055Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of LiteratureMerga Daba0Dawit Bineyam1Ibraist Yohannes2Beniam Yohannes3Rabirra Waktola4Eshetu Bedada5Department of Internal Medicine College of Health Sciences, Addis Ababa University Addis Ababa EthiopiaDepartment of Internal Medicine College of Health Sciences, Addis Ababa University Addis Ababa EthiopiaDepartment of Internal Medicine College of Health Sciences, Addis Ababa University Addis Ababa EthiopiaDepartment of Internal Medicine College of Health Sciences, Addis Ababa University Addis Ababa EthiopiaDepartment of Radiology and MRT St. Paul Hospital Millennium Medical College Addis Ababa EthiopiaCardiology Unit, Department of Internal Medicine College of Health Sciences, Addis Ababa University Addis Ababa EthiopiaABSTRACT Myocardial bridging is a common coronary anomaly. Although it is considered to be a benign condition, it can rarely be complicated by myocardial infarction. Clinicians should be suspicious of myocardial bridging as an etiology of myocardial infarction when other more common etiologies have been excluded. High resolution CT angiography is the gold standard for diagnostic evaluation, with the length and depth of the bridge, and response to conservative therapies guiding clinical decision making on surgical correction. Myocardial bridging is a congenital coronary anomaly in which the coronary arteries pass through the heart muscle rather than lying on its surface. It is typically a benign condition, and most patients are asymptomatic. However, some may experience symptoms of angina. In rare cases, patients can present with myocardial ischemia or infarction. In this report, we present the case of a 38‐year‐old female who presented with a 2‐month history of chest pain. Further evaluation with coronary computed tomography angiography (CCTA) revealed myocardial bridging. Subsequently, she developed a myocardial infarction, a rare complication of this condition. We discuss this uncommon complication of a common anomaly.https://doi.org/10.1002/ccr3.70055chest paincoronary anomalymyocardial bridgingmyocardial infarctionmyocardial ischemia |
| spellingShingle | Merga Daba Dawit Bineyam Ibraist Yohannes Beniam Yohannes Rabirra Waktola Eshetu Bedada Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature Clinical Case Reports chest pain coronary anomaly myocardial bridging myocardial infarction myocardial ischemia |
| title | Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature |
| title_full | Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature |
| title_fullStr | Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature |
| title_full_unstemmed | Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature |
| title_short | Myocardial Bridging, Unusual Cause of Myocardial Infarction; Case Report and Review of Literature |
| title_sort | myocardial bridging unusual cause of myocardial infarction case report and review of literature |
| topic | chest pain coronary anomaly myocardial bridging myocardial infarction myocardial ischemia |
| url | https://doi.org/10.1002/ccr3.70055 |
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