Epicardial fibrosis mimicking a myocardial bridge

Konstantinos Dean Boudoulas, Ahmet Kilic

Research output: Contribution to journalArticle

Abstract

Coronary artery compression during left ventricular systole is usually the result of a segment of coronary artery tunnelling within the myocardium, termed a 'myocardial bridge'. A 49-year-old man presented with acute anterior wall myocardial infarction thought to be secondary to a myocardial bridge seen during coronary arteriography; however, in the operating room the entire left anterior descending artery had a normal epicardial course without evidence of an intramyocardial segment, and coronary artery compression was the result of overlying fibrotic tissue, which was successfully excised. Overlying epicardial coronary artery fibrosis should be in the differential diagnosis of coronary artery compression.

Original languageEnglish (US)
Pages (from-to)336-338
Number of pages3
JournalInteractive cardiovascular and thoracic surgery
Volume19
Issue number2
DOIs
StatePublished - Aug 2014
Externally publishedYes

Keywords

  • Acute myocardial infarction
  • Artery compression
  • Fibrosis

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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