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Multiple myocardial bridges causing severe ischaemia in adolescent with pulmonary stenosis

Published online by Cambridge University Press:  26 August 2020

Sotiria C. Apostolopoulou Open the ORCID record for Sotiria C. Apostolopoulou [Opens in a new window] ,
George A. Vagenakis  and
Eftihia Sbarouni
Sotiria C. Apostolopoulou*
Affiliation:
Department of Pediatric Cardiology & Adult Congenital Heart Disease, Onassis Cardiac Surgery Center, Athens, Greece
George A. Vagenakis
Affiliation:
Department of Pediatric Cardiology & Adult Congenital Heart Disease, Onassis Cardiac Surgery Center, Athens, Greece
Eftihia Sbarouni
Affiliation:
Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece
*
Author for correspondence: Sotiria C. Apostolopoulou, MD, PhD, Department of Pediatric Cardiology & Adult Congenital Heart Disease, Onassis Cardiac Surgery Center, 356 Syngrou Ave, AthensGR 176 74, Greece. Tel: +30 210 949 3865; Fax: +30 210 949 3853. E-mail: [email protected]
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Abstract

Myocardial bridges are often asymptomatic but may need therapy when causing ischaemia. They have rarely been reported in children or in association with CHD, where symptomatology may be mistakenly attributed to the CHD. We report a case of multiple myocardial bridges causing ischaemia in an adolescent with pulmonary stenosis and discuss management.

Keywords

CHDintramyocardial coronary arterymyocardial bridging
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 10 , October 2020 , pp. 1530 - 1531
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Ishikawa, Y, Kawawa, Y, Kohda, E, Shimada, K, Ishii, T. Significance of the anatomical properties of a myocardial bridge in coronary heart disease. Circ J 2011; 75: 1559–1566.CrossRefGoogle ScholarPubMed
Kiess, A, Vollroth, M, Bakhtiary, F, et al. Symptomatic myocardial bridging: a frequently occurring coronary variation can cause severe myocardial ischaemia in affected children with underlying cardiac conditions. Cardiol Young 2018; 28: 826–831.CrossRefGoogle ScholarPubMed
Zaidi, AN, Gumina, RJ. Myocardial bridging in an adult patient with d-transposition of the great arteries. Congenit Heart Dis 2011; 6: 157–161.CrossRefGoogle Scholar
Pérez-Pomares, JM, de la Pompa, JL, Franco, D, et al. Congenital coronary artery anomalies: a bridge from embryology to anatomy and pathophysiology – a position statement of the development, anatomy, and pathology ESC Working Group. Cardiovasc Res 2016; 109: 204–216.CrossRefGoogle ScholarPubMed
Imbalzano, E, Ceravolo, R, Di Stefano, R, Vatrano, M, Saitta, A. Rare combination of left ventricular noncompaction, bicuspid aortic valve and myocardial bridging. Rare case or common genetic mutations? Int J Cardiol 2014; 171: e90–e92.CrossRefGoogle ScholarPubMed
Basso, C, Thiene, G, Mackey-Bojack, S, Frigo, AC, Corrado, D, Maron, BJ. Myocardial bridging, a frequent component of the hypertrophic cardiomyopathy phenotype, lacks systematic association with sudden cardiac death. Eur Heart J 2009; 30: 1627–1634.CrossRefGoogle ScholarPubMed
Rubinshtein, R, Gaspar, T, Lewis, BS, Prasad, A, Peled, N, Halon, DA. Long-term prognosis and outcome in patients with a chest pain syndrome and myocardial bridging: a 64-slice coronary computed tomography angiography study. Eur Heart J Cardiovasc Imag 2013; 14: 579–585.CrossRefGoogle ScholarPubMed
Sharma, J, Hellenbrand, W, Kleinman, C, Mosca, R. Symptomatic myocardial bridges in children: a case report with review of literature. Cardiol Young 2011; 21: 490–494.CrossRefGoogle ScholarPubMed
Tang, K, Wang, L, Shi, R, et al. The role of myocardial perfusion imaging in evaluating patients with myocardial bridging. J Nucl Cardiol 2011; 18: 117–122.CrossRefGoogle ScholarPubMed
Seki, H, Ramesh Janai, A, Bakhtiary, F, Kostelka, M. Successful surgical treatment of a pronounced myocardial bridge of the left anterior descending artery with ischaemia on a two-year-old child. EuroIntervention 2015; 11: e1.CrossRefGoogle ScholarPubMed